Individual
COLLEEN LANDAICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4038 GAP RD, KNOXVILLE, TN 37912-5903
(865) 525-0391
Mailing address
301 S PERIMETER PARK DR, SUITE 210, NASHVILLE, TN 37211-4143
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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