Domingo, Leticia

Domingo, Leticia is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Domingo, Leticia can be contacted via phone (215) 707-4233.

Contact Information

Primary practice address

3401 N Broad St Philadelphia PA 19140-5103

Phone: (215) 707-4233

Fax: (215) 707-8062

Website:

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Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health	363LA2200X	TP005775C	Pennsylvania

Profile Details

NPI number	1275964835
LBN Legal business name	Domingo, Leticia
Credentials	CRNP, RN
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 9th, 2013
Last updated	May 11th, 2017 - about 8 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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