Blossom Mandy Felicien, MA
NPI #1740925601 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1740925601
- Entity Type
- Individual
- Name
- Blossom Mandy Felicien, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medical Technician, Basic
- Credential
- MA
- Enumeration Date
- May 4, 2022
- Last Updated
- May 4, 2022
Practice Location
- Address
- 2323 S 109TH ST STE 130B
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1909
- Phone
- (414) 334-5224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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