Individual
JESSICA L LANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 COUNTY ROAD 5, KINSTON, AL 36453-7096
(334) 406-2216
Mailing address
851 COUNTY ROAD 5, KINSTON, AL 36453-7096
(334) 406-2216
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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