Individual
JODY RENEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
4710 SPOTSYLVANIA PKWY STE 200, FREDERICKSBURG, VA 22407-9433
(540) 741-2210
Mailing address
9330 SUNSHINE SCHOOL RD, WOODFORD, VA 22580-2602
(571) 438-0773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800792
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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