Healthcare Provider Details

I. General information

NPI: 1376899732
Provider Name (Legal Business Name): FELISSA HAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2012
Last Update Date: 08/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554 TUSCARORA DR
SAN JOSE CA
95123-4128
US

IV. Provider business mailing address

554 TUSCARORA DR
SAN JOSE CA
95123-4128
US

V. Phone/Fax

Practice location:
  • Phone: 408-781-2182
  • Fax:
Mailing address:
  • Phone: 408-781-2182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: