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Individual

MARIA ADRIANA LANDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2406 GUS THOMASSON RD STE A, DALLAS, TX 75228-3007
(469) 399-7140
(844) 273-1069
Mailing address
2406 GUS THOMASSON RD STE A, DALLAS, TX 75228-3007
(469) 399-7140
(844) 273-1069

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295261113
TX
Enumeration date
07/17/2017
Last updated
07/21/2022
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