Andrea Landrum
Technician, Other in Southfield, MI. Individual provider (NPI-1).
NPI number1699123778
StatusActive
Last updated in NPPESMay 30, 2016
Details
- NPI
- 1699123778
- Entity type
- Individual (NPI-1)
- Name
- Andrea Landrum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2016
- Last updated
- May 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 247200000X/Technicia | – | Yes |
Practice location
25073 Champlaign DrSouthfield, MI 48034-1203
Phone 248-416-8703
Mailing address
25073 Champlaign DrSouthfield, MI 48034-1203
Phone 248-416-8703
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