Individual
AMBER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN.1627360
CO
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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