SANDRA KAY LONG

MARION, IL
NPI1649204298
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
(Licence: IL  164.000253)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
Mrs. SANDRA KAY LONG RD, LD
VETERANS AFFAIRS MEDICAL CENTER 2401 WEST MAIN
MARION, IL 62959
Phone number: 618-997-5311
Mailing Address
Mrs. SANDRA KAY LONG RD, LD
216 PINEVIEW RD
CARBONDALE, IL 62901-5469
Phone number: 618-549-6756