Individual
MS. MICHAELA V COGAR-LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
411 N HILL RD, SUTTON, WV 26601-1147
(304) 765-7331
(304) 765-7976
Mailing address
200 JERRY BURTON DR, SUTTON, WV 26601-9768
(304) 765-7331
(304) 765-7976
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
43046
WV
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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