Individual
DR. NEMIA LEDESMA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
PO BOX 892, RAMAH, NM 87321-0892
(505) 782-5511
Mailing address
PO BOX 892, RAMAH, NM 87321-0892
(323) 702-6978
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
363221
NM
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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