Individual
SHANNON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28936 OLD TOWN FRONT ST STE 206, TEMECULA, CA 92590-2890
(951) 498-5821
Mailing address
28936 OLD TOWN FRONT ST STE 206, TEMECULA, CA 92590-2890
(951) 498-5821
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
89691
CA
Other
Enumeration date
08/09/2024
Last updated
03/13/2026
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