MICHELE ETTERBEEK LONG

SACRAMENTO, CA
NPI1326103102
Former NameMICHELE LYNN ETTERBEEK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: CA  a74359)
Enumeration Date2006-12-22
Last Update Date2012-02-28
Business Address
-- MICHELE ETTERBEEK LONG M.D.
2516 STOCKTON BLVD TICON II STE 339
SACRAMENTO, CA 95817-2208
Phone number: 916-734-5387
Mailing Address
-- MICHELE ETTERBEEK LONG M.D.
6324 SUTTER AVE
CARMICHAEL, CA 95608-2723
Phone number: 916-993-9923
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