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NPI Code Detail

MEDICARE: LETICIA V OCHOA

MEDICARE: LETICIA V OCHOA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse183594TX

General Provider Information

NPI Number : 1588164206
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA V OCHOA
Provider Business Mailing Address
First Line : 503 W MAYFIELD BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78211-4338
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 503 W MAYFIELD BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78211-4338
Country : US
Telephone Number : 210-878-6578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2018
Last Update Date : 02/19/2018

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Directions to “ LETICIA V OCHOA ” Practice Location

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