LETICIA DOMINGO

PHILADELPHIA, PA
NPI1275964835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  TP005775C)
Enumeration Date2013-12-09
Last Update Date2017-05-11
Business Address
-- LETICIA DOMINGO CRNP, RN
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-4233
Mailing Address
-- LETICIA DOMINGO CRNP, RN
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-4233
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