Individual
CITLALLI JULIANA LEDESMA-PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E LAKE AVE, WATSONVILLE, CA 95076-4424
(831) 728-6445
Mailing address
411 E LAKE AVE, WATSONVILLE, CA 95076-4424
(831) 728-6445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/27/2024
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