Individual
DEBRA SUE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13194 S CEDAR RD, CEDAR, MI 49621-9581
(231) 835-0693
Mailing address
812 CALVIN DR, TRAVERSE CITY, MI 49686-3520
(231) 421-1410
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704217360
MI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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