JEANETTE LONG

ELDORADO, IL
NPI1164951802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043072196)
Enumeration Date2017-06-07
Last Update Date2017-06-07
Business Address
Ms. JEANETTE LONG LPN
70 ALEXANDER ST
ELDORADO, IL 62930
Phone number: 618-841-0074
Mailing Address
Ms. JEANETTE LONG LPN
PO BOX 218
ELIZABETHTWON, IL 62931
Phone number: