Individual
TAMMY CATHLEEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 SMITH AVE NORTH #500, ST PAUL, MN 55102
(651) 726-2715
(651) 379-4484
Mailing address
225 SMITH AVE NORTH #500, ST PAUL, MN 55102
(651) 726-2715
(651) 379-4484
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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