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Individual

TANYA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1 RIVERSIDE CIR, HAYESVILLE, NC 28904-7946
(828) 389-8052
(828) 389-8533
Mailing address
870 HOT HOUSE RD, HAYESVILLE, NC 28904-5131

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
096495
NC

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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