Individual
DR. LETICIA MOEDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2025 GALISTEO ST, SANTA FE, NM 87505-2101
(602) 655-6300
Mailing address
2177 S 29TH AVE, YUMA, AZ 85364-6042
(928) 580-9811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
63273
AZ
207Q00000X
Family Medicine Physician
Primary
MD2022-1484
NM
Other
Enumeration date
05/07/2018
Last updated
01/13/2023
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