Individual
KRISTAL L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1954 AIRPORT RD # 1503, ATLANTA, GA 30341-4956
(224) 587-0663
Mailing address
1954 AIRPORT RD # 1503, ATLANTA, GA 30341-4956
(224) 587-0663
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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