Individual
KATHY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3233 S PINAL VIS, TUCSON, AZ 85713-6554
(520) 225-3517
Mailing address
3233 S PINAL VIS, TUCSON, AZ 85713-6554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN095273
AZ
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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