Individual
RYAN JAMES LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
167 E OAKLAND ST, ST ROSE, LA 70087-3231
(504) 430-2364
Mailing address
167 E OAKLAND ST, ST ROSE, LA 70087-3231
(504) 430-2364
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
LA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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