Individual
MAEDA FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
333 SKYWAY DR, CAMARILLO, CA 93010-8552
(805) 383-1155
(805) 383-1134
Mailing address
5535 CARLTON WAY APT 312, LOS ANGELES, CA 90028-6833
(757) 532-8874
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
84677
VA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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