Individual
DR. MATTHEW GLENN LONGWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
61 5TH ST, TEMPLETON, CA 93465-5100
(805) 434-2077
(805) 434-2079
Mailing address
61 5TH ST, TEMPLETON, CA 93465-5100
(805) 434-2077
(805) 434-2079
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC29137
CA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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