Megan Long

NPI #1417595919 in Waldorf, Maryland

Provider Information

NPI Number: 1417595919
Entity Type: Individual
Name: Megan Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 11325 PEMBROOKE SQ STE 115
City: Waldorf
State: Maryland
ZIP Code: 20603-4807
Phone: (301) 719-1146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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