Individual
MS. SABRINA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 396-5300
Mailing address
17325 MARK TWAIN ST, DETROIT, MI 48235-3911
(313) 570-3617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704308801
MI
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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