SearchWyoming332B00000X

Madonna Long

NPI 1023600723 · on the registry since 2021 · sole proprietor

Practice

Address
806 Pine Ave
Kemmerer, WY 83101
Phone
(307) 877-2993
Organisation at this address
Summit Services & Supplies Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332B00000X
332B00000X
Sex
Female
Record last updated
2021-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming