Individual
DR. MICHAEL J.A. LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
614 HARRISON ST, SUMNER, WA 98390-1100
(253) 380-4752
Mailing address
614 HARRISON ST, SUMNER, WA 98390-1100
(253) 380-4752
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60838165
WA
Other
Enumeration date
05/14/2018
Last updated
12/29/2022
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