Individual
HALEY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5437 NW 81ST AVE, GAINESVILLE, FL 32653-6133
(352) 317-1907
Mailing address
5437 NW 81ST AVE, GAINESVILLE, FL 32653-6133
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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