Individual
DR. MARIA JEAN LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
530 S BARRINGTON AVE, LOS ANGELES, CA 90049-4337
(310) 440-4057
Mailing address
PO BOX 491583, LOS ANGELES, CA 90049-9583
(310) 440-4057
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
38674
CA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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