Lourdes Long

NPI #1801327846 in Blanding, Utah

Provider Information

NPI Number
1801327846
Entity Type
Individual
Name
Lourdes Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Mar 22, 2017
Last Updated
Mar 22, 2017

Practice Location

Address
356 S MAIN ST
State
Utah
ZIP Code
84511-3830
Phone
(435) 678-2992

Specialties & Taxonomy Codes

Specialty
Technician, Other

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