Individual
MRS. MEGAN KELLY LONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
EDIZ HOOK RD., PORT ANGELES, WA 98362
(360) 457-5895
Mailing address
41 W JOHNSON DR, SEQUIM, WA 98382-8553
(707) 758-7764
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
24720000X
WA
Other
Enumeration date
03/09/2006
Last updated
07/21/2022
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