Individual
ASHLEY ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-0770
Mailing address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-0770
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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