Individual
MRS. TARYN CHRISTINE LONGSTRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 OPAL CT, VA OUTPATIENT CLINIC, HAGERSTOWN, MD 21740-5941
(301) 665-1462
(301) 665-1682
Mailing address
1101 OPAL CT, VA OUTPATIENT CLINIC, HAGERSTOWN, MD 21740-5941
(301) 665-1462
(301) 665-1682
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA050670
PA
Other
Enumeration date
01/12/2006
Last updated
07/13/2007
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