Serena Long

NPI #1588382352 in Coquille, Oregon

Provider Information

NPI Number: 1588382352
Entity Type: Individual
Name: Serena Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 18, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 222 E 2ND ST STE 4
City: Coquille
State: Oregon
ZIP Code: 97423-1864
Phone: (541) 824-0991

Specialties & Taxonomy Codes

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

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