Tamala Landis
Nurse's Aide in Elizabeth, CO. Individual provider (NPI-1).
NPI number1710283759
StatusActive
Last updated in NPPESFeb 9, 2011
Details
- NPI
- 1710283759
- Entity type
- Individual (NPI-1)
- Name
- Tamala Landis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2011
- Last updated
- Feb 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 712126 | CO | Yes |
Practice location
34061 Forest Park DrElizabeth, CO 80107-7842
Phone 303-646-4071
Mailing address
Po Box 1272Elizabeth, CO 80107-1272
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