Individual
WENDOLYN RACQUEL LONGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. B.S.N.
Contact information
Practice address
2215 FULLER ROAD ANN ARBOR, ANN ARBOR, MI 48105-2300
(734) 546-2016
Mailing address
2215 FULLER ROAD ANN ARBOR, ANN ARBOR, MI 48105-2300
(734) 546-2016
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704319872
MI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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