Individual
LETICIA DEDUMO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
KULOT DRIVE CHALAN KAMOA, SAIPAN, MP 96950-8901
(670) 285-1805
Mailing address
PO BOX 504576, SAIPAN, MP 96950-8901
(670) 285-1805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0216740
MP
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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