| Tiffany Dawn Long, | |
|
704 3rd Ave, Marlinton, WV 24954-1142 | |
| (304) 799-6865 | |
| Not Available |
| Full Name | Tiffany Dawn Long |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 704 3rd Ave, Marlinton, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427758945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 40763 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Dawn Long, 704 3rd Ave, Marlinton, WV 24954-1142 Ph: (304) 799-6865 | Tiffany Dawn Long, 704 3rd Ave, Marlinton, WV 24954-1142 Ph: (304) 799-6865 |
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