Individual
MANDY LEE LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2828 OLD ROUTE 33 SIDE B, HORNER, WV 26372-9705
(304) 269-4556
Mailing address
2828 OLD ROUTE 33 SIDE B, HORNER, WV 26372-9705
(304) 269-4556
(866) 597-9066
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
66480
WV
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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