Individual
GENEVA ALESIA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800-COOLIDGE AVENUE, OAKLAND, CA 94602-3311
(510) 482-2244
Mailing address
3800-COOLIDGE AVENUE, OAKLAND, CA 94602-3311
(510) 482-2244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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