Individual
VALERIE F LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
DULCE HEALTH CENTER, 12000 STONE LAKE ROAD, DULCE, NM 87528-0187
(505) 759-3291
(505) 759-7289
Mailing address
PO BOX 187, DULCE, NM 87528-0187
(505) 759-3291
(505) 759-7289
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
103762
CO
163WD0400X
Diabetes Educator Registered Nurse
103762
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
09/05/2006
Last updated
08/13/2008
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