Individual
ELIZABETH FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDENT PROVIDER
Contact information
Practice address
9200 ORCHARD AVE, BROOKLYN, OH 44144-2555
(216) 965-0061
Mailing address
9200 ORCHARD AVE, BROOKLYN, OH 44144-2555
(216) 965-0061
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401295310911
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1822228
DODD INDEPENDENT PROVIDER
OH
Enumeration date
11/05/2013
Last updated
11/05/2013
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