Joshua Bentley Taeb Long

NPI #1053193953 in Victorville, California

Provider Information

NPI Number
1053193953
Entity Type
Individual
Name
Joshua Bentley Taeb Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 17, 2023
Last Updated
Oct 17, 2023

Practice Location

Address
12677 HESPERIA RD STE 180
ZIP Code
92395-7754
Phone
(760) 962-1200

Specialties & Taxonomy Codes

Specialty
Pharmacist

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