Individual
FELIX MONTESINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 MULBERRY LN, JACKSONVILLE, NC 28546-4548
(574) 215-3631
Mailing address
114 MULBERRY LN, JACKSONVILLE, NC 28546-4548
(574) 215-3631
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
000045856552
NC
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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