Individual
GWEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 ROBINSON ST, POTTSTOWN, PA 19464-6421
(484) 941-0500
Mailing address
11 ROBINSON ST, POTTSTOWN, PA 19464-6421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN734625
PA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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