Individual
SAVANNAH ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107-7002
(505) 266-5565
Mailing address
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107-7002
(505) 266-5565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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