Individual
MEGAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11325 PEMBROOKE SQ STE 115, WALDORF, MD 20603-4807
(301) 719-1146
Mailing address
23540 F D R BLVD APT 303, CALIFORNIA, MD 20619-7053
(240) 538-6152
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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