Individual
MS. CYNTHIA ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 PICACHO ROAD, WINTERHAVEN, CA 92283
(760) 572-4100
(760) 572-2113
Mailing address
PO BOX 1368, YUMA, AZ 85366-1368
(760) 572-4100
(760) 572-2133
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP117337
TX
Other
Enumeration date
01/09/2009
Last updated
04/19/2018
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