Individual
AMBER LYNN LEDEOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(718) 559-0555
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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