Individual
MR. LUIS A LEDEZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
315 W REINKEN AVE, BELEN, NM 87002-4256
(505) 510-1621
(505) 861-0598
Mailing address
2509 STATE HIGHWAY 47, BELEN, NM 87002-5931
(505) 510-1621
(505) 861-0598
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7785
NM
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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