Individual
MR. LOUIS EDWARD LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 JORDAN VALLEY CT, HENDERSON, NV 89044-1021
(240) 413-3430
(702) 361-7076
Mailing address
2260 JORDAN VALLEY CT, HENDERSON, NV 89044-1021
(240) 413-3430
(702) 361-7076
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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