Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MAKERETA LEDUA HERESFORD
Active Sole ProprietorMRS. MAKERETA LEDUA HERESFORD is a Home Health healthcare provider located in PETALUMA, California. NPI 1518730555 is currently active in the NPPES registry. Verify at CMS.
Home Health · PETALUMA, CA
Registration Details
- NPI Number
- 1518730555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2023 (2.8226748472646 yrs)
- Last Updated
- Nov 1, 2023
- License
-
494700050 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
78 CARLETON DRPETALUMA, CA, 949522254Browse CA providers · Browse ZIP 94952
- Phone
- 7077749186
- Primary Specialty
-
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.