Individual
JODI LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106
(216) 791-2300
Mailing address
2179 STATE ROUTE 193 N, JEFFERSON, OH 44047-8457
(440) 796-6365
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003386
OH
Other
Enumeration date
07/15/2005
Last updated
06/20/2018
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