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Madonna Elizabeth Marie Long
Durable Medical Equipment & Medical Supplies in Kemmerer, Wyoming
NPI 1023600723

Madonna Elizabeth Marie Long is a Durable Medical Equipment & Medical Supplies based in Kemmerer, WY. Madonna Elizabeth Marie Long practices in Kemmerer, WY. The NPI Number for Madonna Elizabeth Marie Long is 1023600723 and holds a License No. (Wyoming).

The current practice location address for Madonna Elizabeth Marie Long is 806 Pine Ave, Kemmerer, WY and can be reached out via phone at 307-877-2993. You can also correspond with Madonna Elizabeth Marie Long through the mailing address at PO BOX 1074, KEMMERER, WY - 83101-1074 (mailing address contact number: 307-877-2993).

Location: 806 Pine Ave, Kemmerer, WY, 83101-1074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023600723
Provider Name
Madonna Elizabeth Marie Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
806 Pine Ave, Kemmerer, WY, 83101-1074
Phone Number
307-877-2993
Fax Number
Provider Enumeration Date
02/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
806 Pine Ave
City
Kemmerer
State
Wyoming
Zip
83101-2900
Phone Number
307-877-2993
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 1074
City
Kemmerer
State
Wyoming
Zip
83101-1074
Phone Number
307-877-2993
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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