Individual
LEAH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 BEMIS RD, YPSILANTI, MI 48197-9356
(734) 352-1883
Mailing address
5500 BEMIS RD, YPSILANTI, MI 48197-9356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704384935
MI
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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