WILLIE NATHANIEL LONG

STAFFORD, TX
NPI1659441194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: TX  32010589631)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
Mr. WILLIE NATHANIEL LONG
610 MURPHY RD STE 107
STAFFORD, TX 77477-5926
Phone number: 281-261-9616
Mailing Address
Mr. WILLIE NATHANIEL LONG
6214 BERKRIDGE DR
HOUSTON, TX 77053-3448
Phone number: 832-335-3228
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