Individual
SHEREE D LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
503 HIGH RIDGE CT, CHESAPEAKE, VA 23322-1283
(757) 620-3286
Mailing address
503 HIGH RIDGE CT, CHESAPEAKE, VA 23322-1283
(757) 620-3286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001191225
VA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-118465
VA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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