CAROL JEAN LONG

CHIPPEWA FALLS, WI
NPI1093172108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  17504-31)
Enumeration Date2016-01-20
Last Update Date2016-01-20
Business Address
Mrs. CAROL JEAN LONG
18404 51ST AVE
CHIPPEWA FALLS, WI 54729-6839
Phone number: 715-720-7794
Mailing Address
Mrs. CAROL JEAN LONG
18404 51ST AVE
CHIPPEWA FALLS, WI 54729-6839
Phone number: 715-720-7794