Individual
LETISHA SHARON SEBAKKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
126 POND ST, WALTHAM, MA 02451-4506
(781) 266-7971
Mailing address
126 POND ST, WALTHAM, MA 02451-4506
(781) 266-7971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2327811
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2327811
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
PERSONAL
MA
Enumeration date
11/15/2021
Last updated
04/29/2025
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