JACQUELYNN MARIE LONG

PHOENIX, AZ
NPI1538618400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: AZ  DA10110)
Additional Taxonomies237600000X Audiologist-Hearing Aid Fitter
(Licence: AZ  DA10110)
Enumeration Date2016-10-03
Last Update Date2021-12-30
Business Address
JACQUELYNN MARIE LONG AuD
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028-6042
Phone number: 602-264-4834
Mailing Address
JACQUELYNN MARIE LONG AuD
4530 E SHEA BLVD STE 180
PHOENIX, AZ 85028-6042
Phone number: 602-264-4834