Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic |
NPI | 1386294155 |
---|---|
Provider Name | Ms. Letitia Cecelia Adams |
First Address | Orlando, FL 32824-4389 |
Second Address | Salem, OR 97302-1691 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2019 |
Last Update Date | 13/09/2019 |