Individual
AARON D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 VERA AVENUE, RIPON, CA 95366
(209) 599-4211
(209) 599-4341
Mailing address
PO BOX 210, RIPON, CA 95366
(209) 599-4211
(209) 599-4341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18580
CA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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