Ledesma, Marissa Jo

Ledesma, Marissa Jo is an individual health care provider with primary practice located at 2102 W Teege Ave , Harlingen TX 78550-4667. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Ledesma, Marissa Jo can be contacted via phone (956) 412-3337.

Contact Information

Primary practice address
2102 W Teege Ave Harlingen TX 78550-4667
Phone: (956) 412-3337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 347680 Texas

Profile Details

NPI number 1932669710
LBN Legal business name Ledesma, Marissa Jo
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated Mar 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932669710 NPPES
Texas MEDICAID 1790847531

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