Tabitha Marie Long
Tabitha Marie Long is a Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2001 Alford Park DrKenosha, WI 53140-1927
Phone: (262) 551-8500
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1417411620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 22, 2019 |
| Last updated in NPPES | January 22, 2019 |
| Mailing address | 249 Main St, Kingston, IL 60145-6800 |
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2001 Alford Park Dr, Kenosha, WI 53140-1927 · (262) 551-8500