JEFFERSON J LONG

ROCHESTER, MN
NPI1013985001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  1494)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R121004-8)
Enumeration Date2006-03-08
Last Update Date2020-10-02
Business Address
JEFFERSON J LONG CRNA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
Mailing Address
JEFFERSON J LONG CRNA
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511