Individual
CHRISTINA MARIEKE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-0198
(253) 968-3278
Mailing address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-0198
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
237960-1
NY
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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