Individual
ILDA R LEAL ZEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 ASPEN DR SPC 61, AUMSVILLE, OR 97325-9462
(971) 239-2659
Mailing address
331 ASPEN DR SPC 61, AUMSVILLE, OR 97325-9462
(971) 239-2659
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
02/26/2024
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