Individual
BRANDI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1041 HIGHLAND CIR, MOUNTAIN HOME, AR 72653-3267
(870) 425-1041
(870) 425-1049
Mailing address
4508 STADIUM BLVD, JONESBORO, AR 72404-9675
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L45738
AR
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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