Individual
MONICA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 WHITE OAK CREEK RD, ARTIE, WV 25008-9408
(681) 400-3042
Mailing address
661 WHITE OAK CREEK RD, ARTIE, WV 25008-9408
(681) 400-3042
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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