Individual
MARIE KATHLEEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
380 CIVIC DR, PLEASANT HILL, CA 94523-1988
(209) 915-5394
Mailing address
380 CIVIC DR, PLEASANT HILL, CA 94523-1988
(209) 915-5394
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
132437
CA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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