Individual
ALEXIS LEDESMA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 LINCOLN BLVD, VENICE, CA 90291-2845
(310) 399-9883
Mailing address
1128 S MERIDIAN RD, MERIDIAN, CA 95957-9609
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
709096
CA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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