Individual
LAQUITA MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
847 CARPENTER ST, COLUMBUS, OH 43206-2424
(614) 592-5140
Mailing address
847 CARPENTER ST, COLUMBUS, OH 43206-2424
(614) 592-5140
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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