Individual
KIM LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 WAYSIDE RD, FAYETTEVILLE, NC 28314-2084
(910) 303-1702
Mailing address
1029 WAYSIDE RD, FAYETTEVILLE, NC 28314-2084
(910) 303-1702
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
02/27/2024
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