Individual
MRS. SARAH LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1159 WESTWOOD DR, VAN WERT, OH 45891-2464
(419) 238-9223
Mailing address
10846 STATE ROUTE 613, OTTAWA, OH 45875-9302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD5291
OH
Other
Enumeration date
04/16/2008
Last updated
04/29/2008
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