Individual
YOLANDA MICHELLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E CAMPUS VIEW BLVD STE 250, COLUMBUS, OH 43235-4682
(614) 537-2445
Mailing address
296 PAGODATREE DR, BLACKLICK, OH 43004-8430
(614) 264-2328
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
COSA.954077
OH
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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