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Heather Marie Long
Mastectomy Fitter in Berkeley, Missouri
NPI 1659919611

Heather Marie Long is a Mastectomy Fitter based in Berkeley, MO. Heather Marie Long practices in Berkeley, MO. The NPI Number for Heather Marie Long is 1659919611 and holds a License No. (Missouri).

The current practice location address for Heather Marie Long is 6654 Bitteroot Ln, Berkeley, MO and can be reached out via phone at 314-395-5874.

Location: 6654 Bitteroot Ln, Berkeley, MO, 63134-1451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659919611
Provider Name
Heather Marie Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
6654 Bitteroot Ln, Berkeley, MO, 63134-1451
Phone Number
314-395-5874
Fax Number
Provider Enumeration Date
12/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6654 Bitteroot Ln
City
Berkeley
State
Missouri
Zip
63134-1451
Phone Number
314-395-5874
Fax Number
person
Provider Business Mailing Address Details
Address
6654 Bitteroot Ln
City
Berkeley
State
Missouri
Zip
63134-1451
Phone Number
314-395-5874
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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