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Individual

CHERIE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2175 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7024
(530) 543-5711
Mailing address
1569 AZTEC WAY, SOUTH LAKE TAHOE, CA 96150-4710

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
514793
CA

Other

Enumeration date
07/02/2022
Last updated
07/02/2022
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