MISS Stacey Michelle Long
NPI #1457320533 in Seneca, South Carolina
Provider Information
- NPI Number
- 1457320533
- Entity Type
- Individual
- Name
- MISS Stacey Michelle Long
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacy Technician
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Oct 23, 2007
Practice Location
- Address
- 15891 WELLS HWY
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29678-1078
- Phone
- (864) 888-0405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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