Individual
THERESE ANTONELLI LANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CDE
Contact information
Practice address
1099 CAPITOL STREET #200, BOX 5407, EAGLE, CO 81631-5407
(970) 390-8311
(855) 615-3242
Mailing address
1099 CAPITOL STREET #200, BOX 5407, EAGLE, CO 81631-5407
(970) 390-8311
(855) 615-3242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
03/01/2016
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