Individual
EUGENE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3674 N RANCHO DR, LAS VEGAS, NV 89130-3110
(702) 985-3943
Mailing address
9101 W SAHARA AVE STE 105-127, LAS VEGAS, NV 89117-5772
(702) 985-3943
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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