Individual
MARGARET JEAN LONGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(206) 992-8748
Mailing address
456 BROWNE ST, FRIDAY HARBOR, WA 98250-9028
(206) 992-8748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60999977
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2019
Last updated
06/29/2020
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