Individual
SHAYNA RAE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 PARK AVE, LANCASTER, PA 17602-2139
(717) 368-8556
Mailing address
642 PARK AVE, LANCASTER, PA 17602-2139
(717) 368-8556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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