CHARLTIEN LONG

LOS ANGELES, CA
NPI1205633880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-02-28
Last Update Date2025-09-28
Business Address
CHARLTIEN LONG
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number: 310-825-6373
Mailing Address
CHARLTIEN LONG
885 TIVERTON DRIVE
LOS ANGELES, CA 90095-0001
Phone number:
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