Individual
LILLIE MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18305 N. SCOTTSDALE RD, SCOTTSDALE, AZ 85254
(480) 235-9639
Mailing address
18305 N. SCOTTSDALE, SCOTTSDALE, AZ 85254
(480) 235-9639
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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