Provider Demographics
NPI:1982425146
Name:LEDESMA, LINZEY (MPH, CHES)
Entity type:Individual
Prefix:
First Name:LINZEY
Middle Name:
Last Name:LEDESMA
Suffix:
Gender:F
Credentials:MPH, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 HERALD ST
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-3413
Mailing Address - Country:US
Mailing Address - Phone:909-736-7271
Mailing Address - Fax:
Practice Address - Street 1:10801 6TH ST
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5977
Practice Address - Country:US
Practice Address - Phone:909-736-7271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker