Individual
MS. VIDA LANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, MS, CCC-SLP
Contact information
Practice address
102 N JORDAN AVE, MILES CITY, MT 59301-3717
(406) 853-2971
Mailing address
PO BOX 1427, MILES CITY, MT 59301-1427
(406) 853-2971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
910
MT
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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