Individual
NANCY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
250 K ST NE APT 606, WASHINGTON, DC 20002-8218
(843) 860-8682
Mailing address
250 K ST NE APT 606, WASHINGTON, DC 20002-8218
(843) 860-8682
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
07/01/2019
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