Individual
LUCILLE BOONE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 GAYLORD DR, SUITLAND, MD 20746-1441
(202) 834-2536
Mailing address
2216 GAYLORD DR, SUITLAND, MD 20746-1441
(202) 834-2536
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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