Provider Demographics
NPI:1831300268
Name:LEONCIO, FERRITHA AQUINO (MD)
Entity Type:Individual
Prefix:
First Name:FERRITHA
Middle Name:AQUINO
Last Name:LEONCIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 13TH AVE E APT 304
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5159
Mailing Address - Country:US
Mailing Address - Phone:907-350-1808
Mailing Address - Fax:
Practice Address - Street 1:SWEDISH FIRST HILL FAMILY MEDICINE
Practice Address - Street 2:1401 MADISON ST SUITE 100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1316
Practice Address - Country:US
Practice Address - Phone:206-386-6054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML20008581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine