Most Relevant Information
Provider Data
NPI Number: | 1003538000 |
Provider Name: | SULAY G CHAVEZ LEDESMA |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/15/2022 |
Last Updated: | 09/15/2022 |
Provider Practice Location
1401 FULTON ST STE 200
FRESNO
CA
937211646
Practice Location Phone/Fax
Phone: | 5593489225 |
Fax: |
Provider Mailing Location
1401 FULTON ST STE 200
FRESNO
CA
937211646
Provider Mailing Phone/Fax
Phone: | 5593489225 |
Fax: |