MICHAEL LONG

BURKE, VA
NPI1366372120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QR1100X Clinic/Center, Research
Enumeration Date2026-05-21
Last Update Date2026-05-21
Business Address
Mr. MICHAEL LONG
9114 BLUE JUG LNDG
BURKE, VA 22015-2107
Phone number: 703-408-7570
Mailing Address
Mr. MICHAEL LONG
9114 BLUE JUG LNDG
BURKE, VA 22015-2107
Phone number: 703-408-7570
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