Individual
DR. LETICIA SANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
949 S GLENDALE ST, WICHITA, KS 67218-3210
(316) 685-2221
Mailing address
999 N SILVER SPRINGS BLVD APT 907, WICHITA, KS 67212-6036
(413) 636-9626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3107
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3107
FEDERAL GOVERNMENT (VA)
CT
Enumeration date
09/30/2019
Last updated
09/30/2019
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