ASHANTE BRANDON LONG

SAN DIEGO, CA
NPI1578156287
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
Enumeration Date2021-02-12
Last Update Date2021-02-12
Business Address
ASHANTE BRANDON LONG
4630 ZION AVE
SAN DIEGO, CA 92120-2558
Phone number: 619-922-7369
Mailing Address
ASHANTE BRANDON LONG
4630 ZION AVE
SAN DIEGO, CA 92120-2558
Phone number:
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