Individual
CRYSTAL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7000
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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