Individual
MRS. EMMYLOU LANDICHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1277
Mailing address
3277 BRIARBANK DR., WINDSOR, ONTARIO N8R 1-T1
(519) 979-6088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704187899
MI
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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