Individual
ANNA MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2520 LONGVIEW ST STE 307, AUSTIN, TX 78705-4202
(512) 815-3438
(512) 205-3455
Mailing address
9525 N CAPITAL OF TEXAS HWY UNIT 212, AUSTIN, TX 78759-7292
(903) 390-6709
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85673
TX
Other
Enumeration date
10/12/2018
Last updated
05/10/2022
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