ALLIE K LONG

SPRINGFIELD, IL
NPI1407588361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: IL  041394426)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
ALLIE K LONG RN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Mailing Address
ALLIE K LONG RN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541