Individual
MRS. KRYSTAL MATSUE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., CLC
Contact information
Practice address
764 KYNDAL CT, GARDNERVILLE, NV 89460-7570
(530) 541-9355
Mailing address
764 KYNDAL CT, GARDNERVILLE, NV 89460-7570
(530) 414-1348
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
11/28/2006
Last updated
12/17/2024
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