Individual
KIMBERLY MARIE FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
12724 GRAN BAY PKWY W STE 150, JACKSONVILLE, FL 32258-9486
(904) 562-6368
Mailing address
3709 SAN PABLO RD S APT 1804, JACKSONVILLE, FL 32224-4825
(813) 469-9539
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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