Individual
ATHENA L LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5362 LEMEE LN, MARIPOSA, CA 95338-9556
(209) 966-2000
(209) 966-8251
Mailing address
PO BOX 99, MARIPOSA, CA 95338-0099
(209) 966-2000
(209) 966-8251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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