ANTOINETTE RAE LONG

LACKAWANNA, NY
NPI1609381649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-12-13
Last Update Date2017-12-13
Business Address
ANTOINETTE RAE LONG
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9699
Mailing Address
ANTOINETTE RAE LONG
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9699
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