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CARMEN LONG

>> Nurse's Aide >> Nursing Service Related Providers

Registrant NPI Number: 1215105986

Individual Registrant:
 CARMEN  LONG 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
180 SHALLOW CREEK CT  ASHFORD, AL 36312-4499 US
Tel: 334-255-7755  Fax: --

Contact information for business:
180 SHALLOW CREEK CT  ASHFORD, AL 36312-4499 US
Tel: --  Fax: --

Registration Information:
NPI: 1215105986
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y376K00000XNursing Service Related Providers
Nurse's Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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