Carolyn Diane Long

NPI #1689349078 in Salem, Utah

Provider Information

NPI Number
1689349078
Entity Type
Individual
Name
Carolyn Diane Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Adult Companion
Enumeration Date
Aug 9, 2021
Last Updated
Aug 9, 2021

Practice Location

Address
834 E 320 N
City
Salem
State
Utah
ZIP Code
84653-5535
Phone
(801) 358-9166

Specialties & Taxonomy Codes

Specialty
Adult Companion

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