SIDNEY RAIN LONG

FORT SMITH, AR
NPI1679273833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy226000000X Recreational Therapist Assistant
(Licence: OK  1850)
Enumeration Date2023-03-07
Last Update Date2023-03-07
Business Address
Mrs. SIDNEY RAIN LONG
8530 S 36TH TERR
FORT SMITH, AR 72908
Phone number: 918-436-9986
Mailing Address
Mrs. SIDNEY RAIN LONG
18750 RHINO RD
SPIRO, OK 74959-4724
Phone number: