Individual
DIANA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
25606 WEIGELA, SAN ANTONIO, TX 78261-2821
(210) 793-7461
Mailing address
25606 WEIGELA, SAN ANTONIO, TX 78261-2821
(210) 793-7461
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129314
TX
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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