BRANDY ILA MARIE LONG

LACEY, WA
NPI1336949718
Former NameBRANDY ILA MARIE JUREK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: ID  43561)
Enumeration Date2025-03-15
Last Update Date2025-03-15
Business Address
BRANDY ILA MARIE LONG RN
4312 PACIFIC AVE SE
LACEY, WA 98503-1117
Phone number: 564-669-5200
Mailing Address
BRANDY ILA MARIE LONG RN
4312 PACIFIC AVE SE
LACEY, WA 98503-1117
Phone number: 208-598-0154