Cynthia Diana Long

NPI #1568217578 in Calhoun, Georgia

Provider Information

NPI Number: 1568217578
Entity Type: Individual
Name: Cynthia Diana Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Apr 22, 2024
Last Updated: Apr 22, 2024

Practice Location

Address: 132 PIN OAK LN SE
City: Calhoun
State: Georgia
ZIP Code: 30701-4090
Phone: (678) 451-5028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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