Individual
MRS. VICKI L LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
1ST ASSISTANT
Contact information
Practice address
5500 39TH ST, GROVES, TX 77619-2905
(409) 962-5733
Mailing address
6049 JADE AVE, PORT ARTHUR, TX 77640-1132
(409) 736-3584
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
06-246
TX
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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