Individual
CRYSTAL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-0203
(360) 577-0269
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60253137
WA
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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