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
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-6717
- Phone
- (707) 750-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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