Individual
ASHLEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN LD
Contact information
Practice address
17273 ROUTE 104, CHILLICOTHE, OH 45601
(740) 773-1141
Mailing address
1939 FORSTONE LANE, COLUMBUS, OH 43228
(419) 503-1237
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 7748
OH
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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