Susie Jane Long
NPI #1003553637 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1003553637
- Entity Type
- Individual
- Name
- Susie Jane Long
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- May 16, 2022
- Last Updated
- May 16, 2022
Practice Location
- Address
- 16 MOUNTAIN PARK DR
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554-8992
- Phone
- (304) 816-3687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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