TELISA LONG

PARK FOREST, IL
NPI1285866111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
(Licence: IL  l52081680690)
Enumeration Date2009-08-11
Last Update Date2009-08-11
Business Address
Ms. TELISA LONG
413 INDIANWOOD BLVD
PARK FOREST, IL 60466-2247
Phone number: 708-369-2368
Mailing Address
Ms. TELISA LONG
413 INDIANWOOD BLVD
PARK FOREST, IL 60466-2247
Phone number: 708-369-2368