Individual
LAETICIA LANDAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12001 AVALON LAKE DR APT 316, ORLANDO, FL 32828-7378
(347) 208-7717
Mailing address
12001 AVALON LAKE DR APT 316, ORLANDO, FL 32828-7378
(347) 208-7717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5223803
FL
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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