Individual
SAMANTHA ELIZABETH LEITAO
Active
Individual
SAMANTHA ELIZABETH LEITAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
000877
PA
Other
Enumeration date
12/06/2021
Last updated
02/22/2023
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