Individual
BRITTANY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 E PECAN AVE, MIDLAND, TX 79705-7917
(432) 212-0414
Mailing address
308 E PECAN AVE, MIDLAND, TX 79705-7917
(432) 212-0414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
859497
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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