Search › Virginia › 103K00000X
Destiny Long
NPI 1366094575 · on the registry since 2019
Practice
- Address
- 5810 Kingstowne Ctr Ste 921
Alexandria, VA 22315 - Phone
- (207) 478-1951
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia