Individual
BRENDA LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LNA, OWNER
Contact information
Practice address
15 PINE ST, PEMBROKE, NH 03275-1132
(603) 210-3047
Mailing address
15 PINE ST, PEMBROKE, NH 03275-1132
(603) 210-3047
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
015305-24
NH
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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