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Individual

LONG CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1510 N SANTA FE AVE, VISTA, CA 92083-2001
(760) 724-3763
Mailing address
958 COLINA CREEK TRL, FALLBROOK, CA 92028-1128
(510) 418-3330

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN726568
CA

Other

Enumeration date
03/28/2023
Last updated
04/17/2023
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