Individual
MR. JAMAEL ANTHONY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH SERVICES TECH
Contact information
Practice address
COMDT CG-1122 U S COAST GUARD 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(251) 441-6054
(251) 544-7422
Mailing address
COMDT CG-1122 U S COAST GUARD 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(251) 441-6054
(251) 544-7422
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
07/31/2013
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