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Individual
MRS. LEOMINA D ESCALANTE
Active
Individual
MRS. LEOMINA D ESCALANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0018869
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06650
AMERIGROUP
MD
01
—
1200050
UHC
—
01
—
20436
PRIORTY
—
01
—
205010
PR HT
—
01
—
4140457
AETNA
MD
05
—
777341200
—
MD
01
—
812685
MAMS
—
Enumeration date
12/22/2006
Last updated
04/01/2009
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