Individual
JENNIFER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1117 W 4TH ST, PITTSBURG, KS 66762-4647
(620) 308-5374
Mailing address
1117 W 4TH ST, PITTSBURG, KS 66762-4647
(620) 308-5374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06099
KS
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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