Sally Long R.D.

NPI 1720122211 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1720122211
Gender Female
Enumeration Date 02/16/2007
Last Updated 08/12/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
310 15TH AVE E
SEATTLE WA, 98112-5103, US
Phone (206) 326-3000
Fax
Business Location
PO BOX 34581
SEATTLE WA, 98124-1581, US
Phone (509) 241-7349
Fax (509) 241-7628
Toxanomy
Taxonomy Code 133V00000X
License State Washington
License Number DI00000519
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According to our database, Sally Long R.D. NPI is 1720122211, taxonomy code is 133V00000X and license number is DI00000519, license state is located at Washington. Sally Long R.D. physically located at 310 15th Ave E, Seattle WA, 98112-5103. NPI Number Sally Long R.D. has the Individual type.

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1720122211 NPI number is provided on an as is basis without warranty of any kind. 1720122211 is maintained by the National Plan & Provider Enumeration System. The contents of Sally Long R.D. are for informational purposes only.