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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADONNA ELIZABETH MARIE LONG

Active Sole Proprietor

MADONNA ELIZABETH MARIE LONG is a Durable Medical Equipment & Medical Supplies healthcare provider located in KEMMERER, Wyoming. NPI 1023600723 is currently active in the NPPES registry. Verify at CMS.

Durable Medical Equipment & Medical Supplies · KEMMERER, WY

Registration Details

NPI Number
1023600723
Provider Type
Individual
Gender
Female
NPI Issued
Feb 4, 2021 (5.5067452180705 yrs)
Last Updated
Feb 4, 2021
Sole Proprietor
Yes

Practice Information

Address
806 PINE AVE
KEMMERER, WY, 831012900
Browse WY providers · Browse ZIP 83101
Phone
3078772993
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.