Individual
STEPHANNY LEDEZMA-GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 KEARNEY ST STE 100, FREMONT, CA 94538-2268
(510) 931-4310
Mailing address
10628 STORY LN, SAN JOSE, CA 95127-4334
(408) 398-9401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA64294
CA
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2024
Last updated
05/20/2024
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