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Individual

MS. SHAMARA DENISE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN

Contact information

Practice address
2021 K ST NW STE 701, WASHINGTON, DC 20006-1054
(301) 664-2148
Mailing address
11609 NEON RD, FORT WASHINGTON, MD 20744-5152
(202) 860-4888

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT004968
GA
225700000X
Massage Therapist
MT004968
GA
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
RN1052788
DC

Other

Enumeration date
11/18/2010
Last updated
07/28/2022
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