Individual
MR. DANA E LANGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501
(707) 268-2990
Mailing address
14500 E 14TH ST UNIT 3368, SAN LEANDRO, CA 94578-6916
(510) 929-0970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653783
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
653783
CA
Other
Enumeration date
08/06/2018
Last updated
04/12/2019
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