Individual
ANDREA LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25073 CHAMPLAIGN DR, SOUTHFIELD, MI 48034-1203
(248) 416-8703
Mailing address
25073 CHAMPLAIGN DR, SOUTHFIELD, MI 48034-1203
(248) 416-8703
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
247200000X/TECHNICIA
—
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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