Individual
JENNIFER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 BUCKWOOD DR, HYANNIS, MA 02601-6213
(508) 360-2032
Mailing address
115 BUCKWOOD DR, HYANNIS, MA 02601-6213
(508) 360-2032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2267291
MA
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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