Provider Demographics
NPI:1215741319
Name:FELIZ, LEVI (SPIRITUAL ADVISOR)
Entity type:Individual
Prefix:
First Name:LEVI
Middle Name:
Last Name:FELIZ
Suffix:
Gender:M
Credentials:SPIRITUAL ADVISOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:REDWOOD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95470-0271
Mailing Address - Country:US
Mailing Address - Phone:707-272-3515
Mailing Address - Fax:
Practice Address - Street 1:106 COYOTE VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:REDWOOD VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95470-9486
Practice Address - Country:US
Practice Address - Phone:707-272-3515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel