Individual
NANCY ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 MAHALANI ST, WAILUKU, HI 96793-2547
(808) 244-5555
Mailing address
400 MAHALANI ST, WAILUKU, HI 96793-2547
(808) 244-5555
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD-15045
HI
Other
Enumeration date
08/23/2006
Last updated
02/13/2009
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