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Leticia Longoria

NPI 1710822440 · on the registry since 2026 · sole proprietor

Practice

Address
1055 Forest Hill Ave Se
Grand Rapids, MI 49546
Phone
(616) 726-8595
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan