Provider Demographics
NPI:1033906664
Name:FELICIANO, SYLVIA I
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:I
Last Name:FELICIANO
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:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-0072
Mailing Address - Country:US
Mailing Address - Phone:347-869-6232
Mailing Address - Fax:
Practice Address - Street 1:1202 N 10TH PL APT 1218
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5635
Practice Address - Country:US
Practice Address - Phone:347-869-6232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach