Individual
FELICIA REVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7866
(714) 834-8051
Mailing address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
07/20/2007
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