Individual
AUTUMN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 LINCOLN AVE, SAN DIEGO, CA 92104-2909
(901) 827-4292
Mailing address
2918 LINCOLN AVE, SAN DIEGO, CA 92104-2909
(901) 827-4292
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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