Individual
SARAH MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S WHITCOMB AVE, TONASKET, WA 98855-9286
(509) 486-0144
Mailing address
PO BOX 1340, OKANOGAN, WA 98840-1340
(509) 293-7826
(509) 689-3247
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AP60863680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60863680
LICENSE
WA
Enumeration date
07/17/2018
Last updated
07/17/2018
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