Provider Demographics
NPI:1790555910
Name:WARD, FELECIA LA-AN
Entity Type:Individual
Prefix:
First Name:FELECIA
Middle Name:LA-AN
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 WILDRYE CT
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-8732
Mailing Address - Country:US
Mailing Address - Phone:619-674-0977
Mailing Address - Fax:619-674-0977
Practice Address - Street 1:578 WILDRYE CT
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-8732
Practice Address - Country:US
Practice Address - Phone:619-674-0977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care