Organization
LONGEVITY HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDIE LONG D.C. (OWNER/CHIROPRACTOR)
(309) 678-0963
Entity
Organization
Contact information
Practice address
3008 W WILLOW KNOLLS DR, PEORIA, IL 61614-1083
(309) 678-0963
Mailing address
8511 COUNTRY VIEW DR, MANITO, IL 61546-8619
(309) 678-0963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
10/12/2022
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