Individual
JILL G. LANDLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58967 BUSINESS CENTER DR, SUITE C, D, & E, YUCCA VALLEY, CA 92284-7308
(760) 369-3130
Mailing address
58967 BUSINESS CENTER DR, SUITE C, D, & E, YUCCA VALLEY, CA 92284-7308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8972
CA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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