Titilia Ledua
Technician, Personal Care Attendant in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1235901323
StatusActive
Last updated in NPPESNov 17, 2023
Details
- NPI
- 1235901323
- Entity type
- Individual (NPI-1)
- Name
- Ms. Titilia Ledua
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2023
- Certification date
- Nov 17, 2023
- Last updated
- Nov 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 494700041 | CA | Yes |
Practice location
725 Farmers Ln Ste 6Santa Rosa, CA 95405-6742
Phone 707-889-9505 · Fax 707-852-2113
Mailing address
725 Farmers Ln Ste 6Santa Rosa, CA 95405-6742
Phone 707-889-9505 · Fax 707-852-2113
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