Susie Jane Long
Susie Jane Long is a Personal Care Attendant in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.
- Licensed in
- WV
- In the registry since
- 2022
Practice location Address checks out
16 Mountain Park DrFairmont, WV 26554-8992
Phone: (304) 816-3687
Fax: (304) 816-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X (WV) |
|---|
Record details
| NPI number | 1003553637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2022 |
| Last updated in NPPES | May 16, 2022 |
| Certification date | May 16, 2022 |
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