LOUIS EDWARD LONG

HENDERSON, NV
NPI1851699904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-03-13
Last Update Date2011-03-13
Business Address
Mr. LOUIS EDWARD LONG
2260 JORDAN VALLEY CT
HENDERSON, NV 89044-1021
Phone number: 240-413-3430
Mailing Address
Mr. LOUIS EDWARD LONG
2260 JORDAN VALLEY CT
HENDERSON, NV 89044-1021
Phone number: 240-413-3430