Individual
MARK FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-1000
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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