Individual
EVA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 K ST STE 273, ANCHORAGE, AK 99501-2064
(800) 804-0434
Mailing address
859 NEWT PATTERSON RD, MANSFIELD, TX 76063-6330
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AUDD101
AK
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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