Individual
AMY SUE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-5544
Mailing address
760 E ELM AVE, APT D, COALINGA, CA 93210-1548
(559) 353-1601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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