Therese Antonelli Landin, MA CDE

NPI #1356500391 in Eagle, Colorado

Provider Information

NPI Number: 1356500391
Entity Type: Individual
Name: Therese Antonelli Landin, MA CDE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MA CDE
Enumeration Date: Jun 5, 2008
Last Updated: Mar 1, 2016

Practice Location

Address: 1099 CAPITOL STREET #200
Address 2: BOX 5407
City: Eagle
State: Colorado
ZIP Code: 81631-5407
Phone: (970) 390-8311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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