MRS. Sandra Kay Long, RD, LD

NPI #1649204298 in Marion, Illinois

Provider Information

NPI Number: 1649204298
Entity Type: Individual
Name: MRS. Sandra Kay Long, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: RD, LD
Enumeration Date: Jul 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: VETERANS AFFAIRS MEDICAL CENTER
Address 2: 2401 WEST MAIN
City: Marion
State: Illinois
ZIP Code: 62959
Phone: (618) 997-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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