Individual
EVALY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M., C.P.M.
Contact information
Practice address
1310 SAN ANTONIO AVE, ALAMEDA, CA 94501-3910
(415) 728-8893
Mailing address
1310 SAN ANTONIO AVE, ALAMEDA, CA 94501-3910
(415) 728-8893
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
426
CA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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