Individual
MS. SHAMARA MONIQUE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95395942
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
95395942
CA
164X00000X
Licensed Vocational Nurse
VN 230989
CA
Other
Enumeration date
01/08/2008
Last updated
07/24/2026
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