Individual
LONGKIM LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 N MAGNOLIA AVE, APT/SUITE, ANAHEIM, CA 92801-3113
(714) 204-9731
Mailing address
916 N MAGNOLIA AVE, APT/SUITE, ANAHEIM, CA 92801-3113
(714) 204-9731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3200
CA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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