Individual
HOLLY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3501 TAYLOR AVE, NOTTINGHAM, MD 21236-4406
(410) 444-5000
Mailing address
421 MARGARET AVE, ESSEX, MD 21221-6824
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
T15880
MD
225X00000X
Occupational Therapist
Primary
09752
MD
Other
Enumeration date
02/02/2015
Last updated
10/19/2022
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