Individual
VICTORIA RENEE LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N.
Contact information
Practice address
1515 VALDORA ST, DAVIS, CA 95616-6346
(530) 400-9752
Mailing address
6015 ALTA LOMA PL, GRANITE BAY, CA 95746-5839
(916) 955-0706
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
664459
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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