Individual
LEDA RICAMORA LAUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7130 N MILLBROOK AVE, FRESNO, CA 93720-3347
(559) 326-1222
(559) 326-1230
Mailing address
PO BOX 25100, FRESNO, CA 93729-5100
(559) 326-1222
(559) 326-1230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007384
CA
363LF0000X
Family Nurse Practitioner
9500734
CA
363LP2300X
Primary Care Nurse Practitioner
9500734
CA
Other
Enumeration date
09/12/2017
Last updated
04/13/2021
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