Individual
MRS. KATHI LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7525 S AVENIDA DE BELLEZA, TUCSON, AZ 85747-9707
(520) 647-3219
Mailing address
7525 S AVENIDA DE BELLEZA, TUCSON, AZ 85747-9707
(520) 647-3219
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN082480
AZ
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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