Individual
HOLLY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1920 COUNTY ROAD 581, WESLEY CHAPEL, FL 33544-9262
(813) 973-4295
(813) 994-9892
Mailing address
1920 COUNTY ROAD 581, WESLEY CHAPEL, FL 33544-9262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 7317
FL
Other
Enumeration date
02/17/2015
Last updated
06/02/2015
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