LAKEISHA ANN LONGINO

MATTESON, IL
NPI1861269292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374K00000X Religious Nonmedical Practitioner
Enumeration Date2023-12-06
Last Update Date2023-12-06
Business Address
LAKEISHA ANN LONGINO
103 HUNTINGWOOD RD
MATTESON, IL 60443-1134
Phone number: 312-498-4551
Mailing Address
LAKEISHA ANN LONGINO
103 HUNTINGWOOD RD
MATTESON, IL 60443-1134
Phone number: 312-498-4551