Individual
LATISCHA LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 DAY STREET, MAILROOM, FITCHBURG, MA 01420-0142
(978) 902-5429
Mailing address
97 VERMONT ST, METHUEN, MA 01844-7519
(978) 902-5429
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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