Individual
HALEY JEAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
18653 WEDGE PKWY STE 300, RENO, NV 89511-3038
(775) 770-7210
(775) 770-7211
Mailing address
18653 WEDGE PKWY, RENO, NV 89511-3323
(775) 770-7210
(775) 770-7211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1945
NV
Other
Enumeration date
11/15/2017
Last updated
06/08/2018
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