Heather Marie Long

NPI #1659919611 in Berkeley, Missouri

Provider Information

NPI Number
1659919611
Entity Type
Individual
Name
Heather Marie Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Mastectomy Fitter
Enumeration Date
Dec 20, 2019
Last Updated
Jan 8, 2022

Practice Location

Address
6654 BITTEROOT LN
ZIP Code
63134-1451
Phone
(314) 395-5874

Specialties & Taxonomy Codes

Specialty
Homemaker
Mastectomy Fitter

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