WANDA LONG

ENGLEWOOD, OH
NPI1417554916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Enumeration Date2020-10-07
Last Update Date2020-10-07
Business Address
WANDA LONG
6849 PACKINGHAM DR
ENGLEWOOD, OH 45322-3710
Phone number: 937-604-9926
Mailing Address
WANDA LONG
6849 PACKINGHAM DR
ENGLEWOOD, OH 45322-3710
Phone number: 937-604-9926