Individual
DIA ALEXANDRA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9311 ANNAPOLIS RD, LANHAM, MD 20706-3103
(240) 350-5228
Mailing address
4609 MARGIE CT, LANHAM, MD 20706-1985
(240) 350-5228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04223
MD
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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