IndividualActive
Adrian Ledezma
NPI 1366308181 · Case Manager/Care Coordinator · Moscow, ID
Provider details
- NPI number
- 1366308181
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
317 W 6th St Ste 208
Moscow, ID 83843-2387
Phone: (208) 882-3504
Fax: (877) 935-2107
Approximate (ZIP-level) locationGet directions
Mailing address
317 W 6th St Ste 208
Moscow, ID 83843-2387
Registry dates
- Enumerated
- 2025-12-25
- Last updated
- 2025-12-25
- Certified
- 2025-12-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.