Individual
EVELYN SUSANA FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
(818) 419-8198
Mailing address
4900 SERRANIA AVE, WOODLAND HILLS, CA 91364-3301
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IOQEJU
CA
Other
Enumeration date
11/06/2018
Last updated
11/07/2023
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