Mikayla Sue Long

NPI #1811371404 in Arlington, Washington

Provider Information

NPI Number
1811371404
Entity Type
Individual
Name
Mikayla Sue Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jul 14, 2015
Last Updated
Sep 14, 2015

Practice Location

Address
17432 SMOKEY POINT BLVD STE 105
ZIP Code
98223-8784
Phone
(360) 653-2222

Specialties & Taxonomy Codes

Specialty
Specialist

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