Wendy Ledesma PA

NPI 1043423510 - Physician Assistant - 363AM0700X

NPI Details
NPI 1043423510
Gender Female
Enumeration Date 05/08/2007
Last Updated 07/06/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1235 INDIAN TRAIL RD
NORCROSS GA, 30093-5524, US
Phone (770) 931-1333
Fax (770) 931-3111
Business Location
3829 CLEARBROOKE WAY
DULUTH GA, 30097-7324, US
Phone (914) 409-8830
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 011225
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According to our database, Wendy Ledesma PA NPI is 1043423510, taxonomy code is 363AM0700X and license number is 011225, license state is located at New York. Wendy Ledesma PA physically located at 1235 Indian Trail Rd, Norcross GA, 30093-5524. NPI Number Wendy Ledesma PA has the Individual type.

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1043423510 NPI number is provided on an as is basis without warranty of any kind. 1043423510 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Ledesma PA are for informational purposes only.