Individual
MRS. ENRIQUETA LANDICHO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
123 FOREST RD, VALLEY STREAM, NY 11581-2307
(516) 305-0688
Mailing address
123 FOREST RD, VALLEY STREAM, NY 11581-2307
(516) 305-0688
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
387613-1
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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