NPI 1962643494

Paula Irene Long, COSMETHAIRREPLACEM

Practitioner Other Technician Beckley, WV

Practice location

Address: 407 Spruce Ln, Beckley, WV 25801-2573
Phone: (304) 237-6904

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 030306 (WV)

Other Technician, Other providers in West Virginia →

Registry record

NPI: 1962643494
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2009
Record last updated: 12 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.