Provider Demographics
NPI:1437241544
Name:LONG, JAMAEL ANTHONY (HEALTH SERVICES TECH)
Entity Type:Individual
Prefix:MR
First Name:JAMAEL
Middle Name:ANTHONY
Last Name:LONG
Suffix:
Gender:M
Credentials:HEALTH SERVICES TECH
Other - Prefix:
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Mailing Address - Street 1:COMDT CG-1122 U S COAST GUARD 2100 2ND ST SW
Mailing Address - Street 2:SUITE 5314
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20593-0001
Mailing Address - Country:US
Mailing Address - Phone:251-441-6054
Mailing Address - Fax:251-544-7422
Practice Address - Street 1:COMDT CG-1122 U S COAST GUARD 2100 2ND ST SW
Practice Address - Street 2:SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:251-441-6054
Practice Address - Fax:251-544-7422
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other