Individual
FELITA CHERYL COUNTESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
103977
MD
1744P3200X
Prosthetics Case Management
103977
MD
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103977
MD
335E00000X
Prosthetic/Orthotic Supplier
103977
MD
Other
Enumeration date
12/15/2023
Last updated
03/12/2024
Update your record
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