Individual
ANDY FELISIANO YCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25233 CA-4, FARMINGTON, CA 95230
(320) 988-6534
Mailing address
1520 YOSEMITE AVE, ESCALON, CA 95320-1753
(209) 838-3591
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8630
CA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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