Individual
JARED M LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6211 TAYLOR DR, FLINT, MI 48507-4665
(810) 237-0799
(517) 676-5460
Mailing address
525 OKEMOS ST, MASON, MI 48854-1226
(517) 833-8100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47404217162
MI
225200000X
Physical Therapy Assistant
5502001615
MI
Other
Enumeration date
06/20/2016
Last updated
09/13/2024
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