Gilbert Carl Long LVN

NPI 1013054915 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1013054915
Gender Male
Enumeration Date 01/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2480 LLEWELLYN AVE
FORT GEORGE G MEADE MD, 20755-5800, US
Phone (301) 677-8270
Fax (301) 677-8176
Business Location
2480 LLEWELLYN AVE
FORT GEORGE G MEADE MD, 20755-5800, US
Phone (301) 677-8270
Fax (301) 677-8176
Toxanomy
Taxonomy Code 164X00000X
License State Texas
License Number 180161
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According to our database, Gilbert Carl Long LVN NPI is 1013054915, taxonomy code is 164X00000X and license number is 180161, license state is located at Texas. Gilbert Carl Long LVN physically located at 2480 Llewellyn Ave, Fort George G Meade MD, 20755-5800. NPI Number Gilbert Carl Long LVN has the Individual type.

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1013054915 NPI number is provided on an as is basis without warranty of any kind. 1013054915 is maintained by the National Plan & Provider Enumeration System. The contents of Gilbert Carl Long LVN are for informational purposes only.