Individual
TREVOR LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
330CORBETT HALL, ORONO, ME 04469-0001
(207) 581-2034
Mailing address
269 HOLM AVE, PORTLAND, ME 04102-1207
(925) 337-7630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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