Provider Demographics
NPI:1770399347
Name:GALICIA VALLECAMPO, BLANCA LETICIA
Entity type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:LETICIA
Last Name:GALICIA VALLECAMPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BLANCA
Other - Middle Name:LETICIA
Other - Last Name:GALICIA VALLECAMPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 1/2 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1180
Mailing Address - Country:US
Mailing Address - Phone:415-374-4247
Mailing Address - Fax:
Practice Address - Street 1:75 1/2 PEARL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1180
Practice Address - Country:US
Practice Address - Phone:415-374-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula