Individual
KIMBERLY ANN LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 HIGH ST, SPRINGFIELD, MA 01105
(413) 739-3954
Mailing address
56 LARCHMONT ST, CHICOPEE, MA 01013
(508) 314-1025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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