AUDREY MAE LANDE

WEISER, ID
NPI1457511081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA-102)
Enumeration Date2008-06-17
Last Update Date2008-06-17
Business Address
Mrs. AUDREY MAE LANDE COTA/L
331 E PARK ST
WEISER, ID 83672-2053
Phone number: 208-549-2416
Mailing Address
Mrs. AUDREY MAE LANDE COTA/L
4430 CASA RIO DR
ONTARIO, OR 97914-8559
Phone number: 541-889-0830
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