TAKISHA DAWN LONG

MOUNDSVILLE, WV
NPI1316551625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2020-09-03
Last Update Date2020-09-03
Business Address
TAKISHA DAWN LONG
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
Mailing Address
TAKISHA DAWN LONG
220 S CHELSEA ST
SISTERSVILLE, WV 26175-1102
Phone number: 304-843-0910
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