Individual
MEGAN HOLLY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 789-6325
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 789-6300
(435) 789-6325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7956242-3101
UT
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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