Individual
DONIQUIA R LONGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5429 BRANDON BLUFF WAY, RICHMOND, VA 23223
(804) 664-8585
Mailing address
1510 WILLOW LAWN DR STE 100, RICHMOND, VA 23230-3429
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
VA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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