MICHAEL JOSEPH LONG

LOS ANGELES, CA
NPI1629413067
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  34981)
Enumeration Date2013-04-29
Last Update Date2020-12-01
Business Address
MICHAEL JOSEPH LONG
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
Mailing Address
MICHAEL JOSEPH LONG
515 COLUMBIA AVE # 200
LOS ANGELES, CA 90017-1209
Phone number: 213-249-9388
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