Most Relevant Information
Provider Data
| NPI Number: | 1003567843 |
| Provider Name: | ALEXIS CHANTELL LEDESMA |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/13/2022 |
| Last Updated: | 01/13/2022 |
Provider Practice Location
7110 MICHIGAN RD
BAY CITY
MI
487069310
Practice Location Phone/Fax
| Phone: | 9897143400 |
| Fax: |
Provider Mailing Location
7110 MICHIGAN RD
BAY CITY
MI
487069310
Provider Mailing Phone/Fax
| Phone: | 9897143400 |
| Fax: |