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Individual

MONICA SILVA LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CHES

Contact information

Practice address
306 QUINCY AVE, EL PASO, TX 79922-1228
(915) 587-7176
Mailing address
306 QUINCY AVE, EL PASO, TX 79922-1228
(915) 587-7176

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
16122
PA
251S00000X
Community/Behavioral Health Agency
390200000X
Student in an Organized Health Care Education/Training Program
16122
PA

Other

Enumeration date
04/08/2011
Last updated
04/08/2011
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