Individual
MRS. LISETTE CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 E WYOMING AVE, PHILADELPHIA, PA 19120-4430
(267) 721-0385
Mailing address
130 E WYOMING AVE, PHILADELPHIA, PA 19120-4430
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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