Individual
ABIGAIL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
645 RODI RD, PITTSBURGH, PA 15235-4564
(412) 723-2775
Mailing address
1718 FRANKSTOWN RD, SUMMERHILL, PA 15958-3505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN307936
PA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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