Individual
ED LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 662-1511
Mailing address
2251 TREAT ST SE, EAST WENATCHEE, WA 98802-5893
(206) 427-6260
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
RN.RN.60711012
WA
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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