ANITA JEAN LONGAN

FLORENCE, SC
NPI1477591352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SC  724655)
Enumeration Date2006-06-03
Last Update Date2016-06-03
Business Address
-- ANITA JEAN LONGAN RD
360 N IRBY ST
FLORENCE, SC 29501-2808
Phone number: 843-667-9414
Mailing Address
-- ANITA JEAN LONGAN RD
360 N IRBY ST
FLORENCE, SC 29501-2808
Phone number: 843-667-9414