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Individual
TRE LANDRY
Active
Individual
TRE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008942
VA
363A00000X
Physician Assistant
Primary
344931
LA
Other
Enumeration date
10/05/2021
Last updated
05/19/2026
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