Individual
LETICIA ASIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 MONTICELLO DR, PAXTON, MA 01612-1413
(617) 650-5901
(508) 502-8342
Mailing address
19 MONTICELLO DR, PAXTON, MA 01612-1413
(617) 650-5901
(508) 502-8342
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
793716
MA
373H00000X
Day Training/Habilitation Specialist
260846
MA
374U00000X
Home Health Aide
793716
MA
376J00000X
Homemaker
793716
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331216699
STATE
MA
Enumeration date
01/06/2010
Last updated
09/01/2016
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