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Individual

FELICIA IDELLTRA JONES

Active
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Individual

FELICIA IDELLTRA JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSA

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA01010
TX
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
211570
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
TX
01
SA01010
TMB
TX
Enumeration date
08/05/2022
Last updated
03/11/2026
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