Individual
MRS. ALICIA MICHELLE LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN II
Contact information
Practice address
518 FARMER ST, STARR, SC 29684-8923
(601) 342-7798
Mailing address
518 FARMER ST, STARR, SC 29684-8923
(601) 342-7798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
54084
SC
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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