Individual
JAIME LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 N F ST KEYSER, KEYSER, WV 26726
(240) 203-0085
Mailing address
PO BOX 207, KEYSER, WV 26726-0207
(240) 203-0085
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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