Provider Demographics
NPI:1497340954
Name:LEDESMA, VIOLET (BSN,PHN,RN)
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:LEDESMA
Suffix:
Gender:F
Credentials:BSN,PHN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 CARROUSEL CT
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-3086
Mailing Address - Country:US
Mailing Address - Phone:209-277-2594
Mailing Address - Fax:
Practice Address - Street 1:1141 CARROUSEL CT
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-3086
Practice Address - Country:US
Practice Address - Phone:209-277-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-06
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care