Mr. Jerry Lee Long Jr.
Mr. Jerry Lee Long Jr. is a Customized Equipment (DME) in Saint Louis, Missouri. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6654 Bitteroot LnSaint Louis, MO 63134-1451
Phone: (813) 494-1282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5474 Williams Rd Ste 1b, Tampa, FL 33610-9345 — (813) 494-1282
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|
Record details
| NPI number | 1881240349 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 12, 2019 |
| Last updated in NPPES | August 12, 2019 |
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