Mariah Long
Mariah Long is an Oncology Nutrition Registered Dietitian in Zion, Illinois. Licensed in Iowa. Registered with an NPI since 2020.
- Licensed in
- IA
- In the registry since
- 2020
Practice location Address checks out
2520 Elisha AveZion, IL 60099-2676
Phone: (847) 872-4072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oncology Nutrition Registered Dietitian (primary) | Taxonomy 133VN1301X · Licence 164.007783 (IA) |
|---|
Record details
| NPI number | 1306470364 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 28, 2020 |
| Last updated in NPPES | February 28, 2020 |
| Certification date | February 28, 2020 |
| Mailing address | 2520 Elisha Ave, Zion, IL 60099-2676 |