Tabitha Marie Long is a student in an organized health care education training program in Kenosha, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Tabitha Marie Long NPI is 1417411620. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2001 ALFORD PARK DR
KENOSHA, WI
ZIP 53140-927
Phone: (262) 551-8500
The enumeration date for this NPI number is 1/22/2019 and was last updated on 1/22/2019.