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NPI Code Detail

MEDICARE: LETICIA TAMAYO

MEDICARE: LETICIA TAMAYO
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
12355S0801XSpeech-Language Assistant34688TX

General Provider Information

NPI Number : 1386988574
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA TAMAYO
Provider Business Mailing Address
First Line : 871 OLD ALICE RD STE 600
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-8274
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 871 OLD ALICE RD STE 600
Second Line :
City : BROWNSVILLE
State : TX
Zip : 78520-8274
Country : US
Telephone Number : 956-541-2102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2012
Last Update Date : 11/12/2012

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Directions to “ LETICIA TAMAYO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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