Individual
DESIREE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10477 HARRISON AVE, HARRISON, OH 45030-1941
(513) 202-8283
Mailing address
3662 GARY DR, WEST HARRISON, IN 47060-7736
(513) 504-4555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
025960
OH
Other
Enumeration date
03/25/2020
Last updated
03/31/2020
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