Individual
NAOMI L LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 1625, TOPPENISH, WA 98948-5601
(509) 930-7536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60197570
WA
Other
Enumeration date
02/15/2011
Last updated
01/06/2012
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