| Doctor Name: | VICTORIA RENEE LANDIS |
| NPI Number: | 1104041474 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., B.S.N. |
| License Number: | 664459 |
| Business Practice Address: | 1515 Valdora St Davis, CA - 956166346 |
| Business Phone Number: | 5304009752 |
| Business Fax Number: | |
| Mailing Address: | 6015 Alta Loma Pl, GRANITE BAY |
| State: | CA |
| Postal Code: | 957465839 |
| Phone Number: | 9169550706 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 664459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |