Individual
DERRICK D LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7812 SHELLY ST, NEW ORLEANS, LA 70126-1435
(504) 278-3213
Mailing address
7812 SHELLY ST, NEW ORLEANS, LA 70126-1435
(504) 278-3213
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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