| Leticia G Jacinto Md Pc | |
|
17100 N 67th Ave Ste 401 Glendale AZ 85308-3698 | |
| (602) 795-8698 | |
| (602) 795-8699 |
| Full Name | Leticia G Jacinto Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17100 N 67th Ave Ste 401, Glendale, Arizona |
| Authorized Official Name and Position | Shirley Baker (OFFICE MANAGER) |
| Authorized Official Contact | 6027958698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leticia G Jacinto Md Pc 17100 N 67th Ave Ste 401 Glendale AZ 85308-3698 Ph: (602) 795-8698 | Leticia G Jacinto Md Pc 17100 N 67th Ave Ste 401 Glendale AZ 85308-3698 Ph: (602) 795-8698 |
| NPI Number | 1275647307 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 06/03/2013 |
| Medicare PECOS PAC ID | 1355395286 |
|---|---|
| Medicare Enrollment ID | O20050303000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275647307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 29006 (Arizona) | Primary |
| Provider Name | Leticia G Jacinto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043210198 PECOS PAC ID: 9931150489 Enrollment ID: I20050202000532 |
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