CRYSTAL LYNN LONG

SOUTH POINT, OH
NPI1306355912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  F09171083)
Enumeration Date2017-09-26
Last Update Date2020-07-09
Business Address
CRYSTAL LYNN LONG FNP-C
81 TOWNSHIP ROAD 1373
SOUTH POINT, OH 45680-7395
Phone number: 304-972-4145
Mailing Address
CRYSTAL LYNN LONG FNP-C
81 TOWNSHIP ROAD 1373
SOUTH POINT, OH 45680-7395
Phone number: