Individual
KYLEA MICHAEL LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 ONEIDA ST, STORM LAKE, IA 50588-2545
(712) 732-7022
Mailing address
1408 PARK ST, STORM LAKE, IA 50588-2661
(712) 299-3573
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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