Individual
GILLIAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 SABLE AVE, DARTMOUTH, MA 02747-3265
(774) 328-2784
Mailing address
51 SABLE AVE, DARTMOUTH, MA 02747-3265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2019
Last updated
06/21/2022
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