Individual
MR. JOAN D FELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, CCT, RCIS
Contact information
Practice address
2655 CAMINO DEL RIO N STE 120, SAN DIEGO, CA 92108-1633
(000) 000-0000
Mailing address
2655 CAMINO DEL RIO N, SAN DIEGO, CA 92108-1633
(312) 341-0049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014288
CA
363LP2300X
Primary Care Nurse Practitioner
95014288
CA
Other
Enumeration date
12/05/2022
Last updated
03/08/2023
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