| NPI | 1376964601 |
|---|---|
| Other Name | JOSE R FELICIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 15713) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2971) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2021-03-07 |