LESLE LONG, MDVIP, LLC

GREER, SC
NPI1538422670
Entity TypeOrganization
Authorized ContactLESLE D. LONG
Owner
864-530-0300
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2012-06-22
Last Update Date2012-06-22
Business Address
LESLE LONG, MDVIP, LLC
89 SONIA DR SUITE A
GREER, SC 29650-4540
Phone number: 864-530-0300
Mailing Address
LESLE LONG, MDVIP, LLC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809