Individual
ROSIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,IBCLC,RLC
Contact information
Practice address
825 NE 10TH ST # 3300, OKLAHOMA CITY, OK 73104-5417
(405) 271-9494
(405) 271-3727
Mailing address
12624 MEADOWS DR, OKLAHOMA CITY, OK 73120-1765
(405) 830-9166
(405) 271-6454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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