Individual
CASSIDY SAD'E LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN 151949
Contact information
Practice address
6635 DUMONT LN APT 315, COLUMBUS, OH 43235-8023
(419) 230-4083
Mailing address
6635 DUMONT LN APT 315, COLUMBUS, OH 43235-8023
(419) 230-4083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
151949MEDSIV
OH
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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