Desiree Long

NPI #1770907131 in Fairfield, California

Provider Information

NPI Number
1770907131
Entity Type
Individual
Name
Desiree Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Feb 5, 2014
Last Updated
Feb 5, 2014

Practice Location

Address
2101 COURAGE DR
ZIP Code
94533-6717
Phone
(707) 750-3000

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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