Individual
MRS. JUDY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086-6386
(408) 523-3681
Mailing address
301 OLD SAN FRANCISCO RD, SUNNYVALE, CA 94086-6386
(408) 523-3681
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-25465
CA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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