Individual
MS. ANITA LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4244 N 50TH ST, MILWAUKEE, WI 53216-1313
(414) 585-0015
Mailing address
4244 N 50TH ST, MILWAUKEE, WI 53216-1313
(414) 585-0015
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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