Individual
MR. SCOTT LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
28400 STALLION SPRINGS, TEHACHAPI, CA 93561
(661) 822-7900
Mailing address
28400 STALLION SPRINGS, TEHACHAPI, CA 93561
(661) 822-7900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004322
OH
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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