JONATHAN LONG

MADISON, WI
NPI1740680180
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WH0200X Registered Nurse, Home Health
(Licence: WI  184922-30)
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
-- JONATHAN LONG RN
1707 ROWLAND AVE # 1
MADISON, WI 53704-4109
Phone number: 802-238-2258
Mailing Address
-- JONATHAN LONG RN
1707 ROWLAND AVE # 1
MADISON, WI 53704-4109
Phone number: 802-238-2258
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