Individual
MS. DOMINIQUE FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
398 NEPONSET AVE, BOSTON, MA 02122-3134
(617) 282-3200
Mailing address
398 NEPONSET AVE, BOSTON, MA 02122-3134
(617) 282-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2331929
MA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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