Provider Demographics
NPI:1760092829
Name:AQUINO, LETICIA ELISA
Entity Type:Individual
Prefix:
First Name:LETICIA
Middle Name:ELISA
Last Name:AQUINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 ANSEL HALLET RD
Mailing Address - Street 2:
Mailing Address - City:WEST YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673-2556
Mailing Address - Country:US
Mailing Address - Phone:508-775-6240
Mailing Address - Fax:
Practice Address - Street 1:30 ANSEL HALLET RD
Practice Address - Street 2:
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-2556
Practice Address - Country:US
Practice Address - Phone:978-726-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter