MS. Paula Irene Long, COSMET HAIR REPLACEM

NPI #1962643494 in Beckley, West Virginia

Provider Information

NPI Number: 1962643494
Entity Type: Individual
Name: MS. Paula Irene Long, COSMET HAIR REPLACEM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: COSMET HAIR REPLACEM
Enumeration Date: Mar 12, 2009
Last Updated: Mar 12, 2009

Practice Location

Address: 407 SPRUCE LN
City: Beckley
State: West Virginia
ZIP Code: 25801-2573
Phone: (304) 237-6904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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