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Mrs. Leticia Mota
Optician in Detroit, Michigan
NPI 1902992126

Leticia Mota is a Optician based in Detroit, MI and is specialized in Optician. Leticia Mota practices in Detroit, MI. The NPI Number for Leticia Mota is 1902992126 and holds a License No. (Michigan).

The current practice location address for Leticia Mota is 1940 Campbell St, Detroit, MI and can be reached out via phone at 313-551-0707 and via fax at 313-551-0708.

Location: 1940 Campbell St, Detroit, MI, 48209-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902992126
Provider Name
Leticia Mota
Credential
Provider Entity Type
Individual
Gender
Female
Address
1940 Campbell St, Detroit, MI, 48209-2125
Phone Number
313-551-0707
Fax Number
313-551-0708
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4916160 05 MI
institution
Provider Business Practice Location Address Details
Address
1940 Campbell St
City
Detroit
State
Michigan
Zip
48209-2125
Phone Number
313-551-0707
Fax Number
313-551-0708
person
Provider Business Mailing Address Details
Address
1940 Campbell St
City
Detroit
State
Michigan
Zip
48209-2125
Phone Number
313-551-0707
Fax Number
313-551-0708
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
(Michigan)
Definition
Definition to come...
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