Individual
MELISSA CHRISTINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 445-8121
Mailing address
2560 MUNSON ST, EUREKA, CA 95501-3365
(707) 832-9439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA52504
CA
363AS0400X
Surgical Physician Assistant
Primary
52504
CA
Other
Enumeration date
05/21/2015
Last updated
04/02/2019
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