Individual
NEIL FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 S TERRACE RD, 105, TEMPE, AZ 85281-3865
(623) 939-6786
Mailing address
950 S TERRACE RD, 105, TEMPE, AZ 85281-3865
(623) 939-6786
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP047091
AZ
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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