STEPHANIE LONG

INDIANAPOLIS, IN
NPI1750630281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27068594A)
Enumeration Date2012-08-30
Last Update Date2012-08-30
Business Address
-- STEPHANIE LONG
2626 E 46TH ST STE J
INDIANAPOLIS, IN 46205-2380
Phone number: 317-475-9066
Mailing Address
-- STEPHANIE LONG
726 E GIMBER ST
INDIANAPOLIS, IN 46203-5121
Phone number: