Individual
MS. JANET MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1930 MADISON ST, EUGENE, OR 97405-2435
(541) 484-1541
Mailing address
1930 MADISON ST, EUGENE, OR 97405-2435
(541) 484-1541
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
087005057
OR
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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