Individual
PAMELA DEE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN A.B.O
Contact information
Practice address
5466 CALIFORNIA AVE, BAKERSFIELD, CA 93309-1618
(661) 324-0991
Mailing address
5466 CALIFORNIA AVE, BAKERSFIELD, CA 93309-1618
(661) 324-0991
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
15100016
CA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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