Individual
MR. JERRY FRANCIS LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1522A ENOS LN, HONOLULU, HI 96822-4519
(808) 721-2278
Mailing address
PO BOX 22963, HONOLULU, HI 96823-2963
(808) 721-2278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78722
HI
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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