Individual
DEBRA ANN LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2662 GOLD KEY EST, MILFORD, PA 18337-9697
(570) 686-4618
Mailing address
2662 GOLD KEY EST, MILFORD, PA 18337-9697
(570) 686-4618
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277432-1
NY
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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