Individual
JULIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 WETHERSFIELD CT, ROCHESTER HILLS, MI 48309-4281
(586) 747-8654
Mailing address
1690 WETHERSFIELD CT, ROCHESTER HILLS, MI 48309-4281
(586) 747-8654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704323398
MI
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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