Individual
LETEVIA HERLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
713 J L CHESTNUT BOULEVARD, SELMA, AL 36702
(334) 847-7428
Mailing address
153 REESE DR, ALABASTER, AL 35007-4009
(205) 370-9614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06170834
AL
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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