Individual
DARCEE LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94235 MOORE ST, GOLD BEACH, OR 97444-9699
(541) 373-8001
Mailing address
94235 MOORE ST, GOLD BEACH, OR 97444-9699
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1629322847
OR
Other
Enumeration date
02/22/2016
Last updated
10/21/2016
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