Individual
BRANDI LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 GUN CLUB RD, HERNDON, PA 17830-7025
(570) 495-3691
Mailing address
119 GUN CLUB RD, HERNDON, PA 17830-7025
(570) 495-3691
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
30349
PA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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