Rodriguez, Leticia

Rodriguez, Leticia is an individual health care provider with primary practice located at 402 S 12Th Ave , Yakima WA 98902-3115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Leticia can be contacted via phone (509) 575-0114.

Contact Information

Primary practice address
402 S 12Th Ave Yakima WA 98902-3115
Phone: (509) 575-0114
Fax: (509) 575-0808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN60326441 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60961165 Washington

Profile Details

NPI number 1003471046
LBN Legal business name Rodriguez, Leticia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2019
Last updated Feb 2nd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003471046 NPPES
Washington MEDICAID 233416

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