Tara Long

NPI #1003553066 in Chillicothe, Ohio

Provider Information

NPI Number
1003553066
Entity Type
Individual
Name
Tara Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 19, 2022
Last Updated
May 19, 2022

Practice Location

Address
17273 STATE ROUTE 104
State
Ohio
ZIP Code
45601-9718
Phone
(740) 773-1141

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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