Individual
JANAE MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
970 WHITTIER AVE, AKRON, OH 44320-2159
(330) 285-1791
Mailing address
970 WHITTIER AVE, AKRON, OH 44320-2159
(330) 285-1791
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7718982
CONTRACT NUMBER
OH
Enumeration date
11/02/2020
Last updated
11/02/2020
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