Madonna Elizabeth Marie Long

NPI #1023600723 in Kemmerer, Wyoming

Provider Information

NPI Number
1023600723
Entity Type
Individual
Name
Madonna Elizabeth Marie Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 4, 2021
Last Updated
Feb 4, 2021

Practice Location

Address
806 PINE AVE
State
Wyoming
ZIP Code
83101-2900
Phone
(307) 877-2993

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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