Individual
DR. RAISA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1401 DOUG BAKER BLVD # 107-178, BIRMINGHAM, AL 35242-4974
(205) 737-9255
(205) 737-9258
Mailing address
1401 DOUG BAKER BLVD STE 107-178, BIRMINGHAM, AL 35242-4974
(205) 737-9255
(205) 737-9258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2450
AL
Other
Enumeration date
12/15/2014
Last updated
03/25/2020
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