Individual
ISAIAS FELIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 EMPIRE ST STE 2200, FAIRFIELD, CA 94533-5711
(707) 439-7830
Mailing address
1205 PEMBROKE WAY, DIXON, CA 95620-2337
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
06/04/2024
Last updated
06/20/2024
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