Individual
MICHAELA NORRIS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712
Mailing address
PO BOX 87067, FAYETTEVILLE, NC 28304-7067
(910) 323-9016
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM03435
NC
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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