Individual
ALLIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 KEY HWY STE 300, BALTIMORE, MD 21230-5550
(410) 230-7830
Mailing address
1420 KEY HWY STE 300, BALTIMORE, MD 21230-5550
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
10/02/2023
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