JENNICA LONG

OWOSSO, MI
NPI1235951328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601012849)
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
JENNICA LONG
818 W KING ST STE 101
OWOSSO, MI 48867-2159
Phone number: 989-725-8171
Mailing Address
JENNICA LONG
818 W KING ST STE 101
OWOSSO, MI 48867-2159
Phone number: 989-725-8171