Russell K Long
Russell K Long is a Technician/Technologist in Memphis, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1805 Wilcrest Dr Apt 5Memphis, TN 38134-5017
Phone: (901) 558-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician/Technologist (primary) | Taxonomy 156F00000X |
|---|
Record details
| NPI number | 1629886627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2024 |
| Last updated in NPPES | December 21, 2024 |
| Certification date | December 21, 2024 |
| Mailing address | 1805 Wilcrest Dr Apt 5, Memphis, TN 38134-5017 |
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