Individual
MS. LETICHA ANTONIONETTE LEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7195 ADVANCED WAY, LAS VEGAS, NV 89113-3691
(702) 740-5327
(702) 597-2067
Mailing address
7195 ADVANCED WAY, LAS VEGAS, NV 89113-3691
(702) 740-5327
(702) 597-2067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0456
NV
363A00000X
Physician Assistant
Primary
PA16874
TX
Other
Enumeration date
12/26/2019
Last updated
12/14/2023
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