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Individual
THERESA A LEDESMA
Active
Individual
THERESA A LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A080263
IA
363L00000X
Nurse Practitioner
A080263
IA
363LC1500X
Community Health Nurse Practitioner
A080263
IA
363LF0000X
Family Nurse Practitioner
A080263
IA
364SE0003X
Emergency Clinical Nurse Specialist
Primary
A080263
IA
Other
Enumeration date
09/21/2006
Last updated
04/05/2010
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