SearchCalifornia101YP2500X

Jaun Ledezma

NPI 1225623986 · on the registry since 2021 · sole proprietor

Practice

Address
1149 Warren Ave
Vallejo, CA 94591
Phone
(707) 552-5295
Organisation at this address
Genesis House
Genesis House, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California