Individual
JENNIFER RIZZO LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10725 INTERNATIONAL DR, RANCHO CORDOVA, CA 95670-7967
(916) 631-3000
Mailing address
10725 INTERNATIONAL DR, RANCHO CORDOVA, CA 95670-7967
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A115096
CA
390200000X
Student in an Organized Health Care Education/Training Program
241299
MA
Other
Enumeration date
07/08/2009
Last updated
12/15/2021
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