Dimpa Teresa Long

NPI 1659562064 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1659562064
Gender Female
Enumeration Date 08/09/2007
Last Updated 02/03/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
650 N STATE ST
HEMET CA, 92543-2960, US
Phone (951) 791-3300
Fax (951) 791-3333
Business Location
650 N. STATE ST
HEMET CA, 92543, US
Phone (951) 791-3300
Fax (951) 791-3333
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Dimpa Teresa Long NPI is 1659562064, taxonomy code is 171M00000X Dimpa Teresa Long physically located at 650 N State St, Hemet CA, 92543-2960. NPI Number Dimpa Teresa Long has the Individual type.

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1659562064 NPI number is provided on an as is basis without warranty of any kind. 1659562064 is maintained by the National Plan & Provider Enumeration System. The contents of Dimpa Teresa Long are for informational purposes only.