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Individual

MRS. VANESSA D LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1430 TULANE AVE # SL-22, NEW ORLEANS, LA 70112-2605
(504) 988-3988
Mailing address
1430 TULANE AVE # SL-22, NEW ORLEANS, LA 70112-2632
(504) 988-3988

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10229
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1712663
LA
Enumeration date
01/19/2007
Last updated
02/28/2011
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