Individual
GERALD LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2214 21ST ST NE, CANTON, OH 44705-2332
(234) 410-4852
Mailing address
2214 21ST ST NE, CANTON, OH 44705-2332
(234) 410-4852
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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