MARLENE LONG

PHOENIX, AZ
NPI1679957849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP040000)
Enumeration Date2015-07-16
Last Update Date2015-07-16
Business Address
-- MARLENE LONG
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- MARLENE LONG
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200