DANIELLE ELAINE LONG

EAGLE BUTTE, SD
NPI1225433691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: SD  R044583)
Enumeration Date2014-10-28
Last Update Date2014-10-28
Business Address
-- DANIELLE ELAINE LONG
24276 166TH ST AIRPORT ROAD BOX 1012
EAGLE BUTTE, SD 57625-1012
Phone number: 605-964-7724
Mailing Address
-- DANIELLE ELAINE LONG
PO BOX 1012
EAGLE BUTTE, SD 57625-1012
Phone number: 605-964-7724