Individual
MRS. LAURA A LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(603) 626-9500
Mailing address
145 HOLLIS ST, MANCHESTER, NH 03101-1235
(626) 636-9500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
862070
NH
Other
Enumeration date
04/30/2007
Last updated
02/02/2023
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