Individual
SHANIQUA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 238-7226
Mailing address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 238-7226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114467
MI
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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