Individual
KATHERINE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 AUTUMN PARK WAY, MECHANICSVILLE, VA 23116-3868
(804) 730-0009
Mailing address
9050 WINTER SPRING DR, MECHANICSVILLE, VA 23116-2826
(202) 486-9886
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2305205054
VA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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