Individual
MICHAEL TYREK LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1369 IRVING ST NW, WASHINGTON, DC 20010-2312
(202) 883-9751
Mailing address
1410 DELAFIELD PL NW, WASHINGTON, DC 20011-4347
(202) 860-9409
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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