Provider Demographics
NPI:1134107980
Name:TUITE, LETICIA L (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:LETICIA
Middle Name:L
Last Name:TUITE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7078 N MAPLE AVE
Mailing Address - Street 2:101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-8007
Mailing Address - Country:US
Mailing Address - Phone:559-449-8200
Mailing Address - Fax:559-449-1227
Practice Address - Street 1:1047 R ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1312
Practice Address - Country:US
Practice Address - Phone:559-449-1690
Practice Address - Fax:559-499-1697
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA16817363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant