Individual
MRS. ALYSSA REY LANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 N PARK AVE APT 200, SHAWNEE, OK 74804-2825
(405) 510-7766
Mailing address
2610 N PARK AVE APT 200, SHAWNEE, OK 74804-2825
(405) 510-7766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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