Individual
LETICIA MICHELLE CANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
300 KIRKSTALL DR APT 1210, HOUSTON, TX 77090-6431
(832) 882-5937
Mailing address
300 KIRKSTALL DR APT 1210, HOUSTON, TX 77090-6431
(832) 882-5937
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
18331950
TX
347C00000X
Private Vehicle
18331950
TX
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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