Individual
MONICA LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 N 95TH ST APT A, MILWAUKEE, WI 53225-2654
(414) 292-6110
Mailing address
5718 N 95TH ST, MILWAUKEE, WI 53225-2612
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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