Phyllis Long

NPI #1467134015 in North Ridgeville, Ohio

Provider Information

NPI Number: 1467134015
Entity Type: Individual
Name: Phyllis Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 6263 GREENVIEW TRL
City: North Ridgeville
State: Ohio
ZIP Code: 44039-2839
Phone: (440) 281-1838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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