Individual
MELINDA JANE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1045 FROGS CREEK RD, CHARLESTON, WV 25312-7001
(304) 941-3827
Mailing address
1045 FROGS CREEK RD, CHARLESTON, WV 25312-7001
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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