Individual
TAERA YOUNG FELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
605 CROUCH ST, OCEANSIDE, CA 92054-4415
(760) 757-4566
Mailing address
4062 GARFIELD ST, APARTMENT C, CARLSBAD, CA 92008-7402
(760) 277-1958
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA52859
CA
Other
Enumeration date
10/12/2015
Last updated
07/21/2016
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