Individual
ALISSA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7210 120TH AVE NE, KIRKLAND, WA 98033-8100
(360) 434-7682
Mailing address
7210 120TH AVE NE, KIRKLAND, WA 98033-8100
(360) 434-7682
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN00173561
WA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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