Individual
DONLINIELLE B LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6012 STANLEYVILLE DR, RURAL HALL, NC 27045-9741
(336) 745-8826
Mailing address
6012 STANLEYVILLE DR, RURAL HALL, NC 27045-9741
(336) 745-8826
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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