Individual
MS. SHAMARA MONIQUE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
760 W. MOUNTAIN VIEW ST., ALTA DENA, CA 91001
(626) 798-6793
Mailing address
760 W. MOUNTAIN VIEW ST., ALTA DENA, CA 91001
(517) 879-3209
Taxonomy
Speciality
Code
Description
License number
State
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
05/14/2025
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