Individual ProviderAmy Sue LongStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address7300 N Fresno St, Fresno, CA 93720-2941(559) 448-5544(559) 353-1601PECOS EnrollmentBased on the most recent information from CMS, provider Amy Sue Long does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053642207Provider TypeIndividualFull NameLong, Amy SueCredentialM.SGenderFemaleSole ProprietorNoEnumeration Date1/27/2010Last Updated1/27/2010Contact InformationPractice LocationPractice Address7300 N Fresno St, Fresno, CA 93720-2941Phone(559) 448-5544FaxUnlisted FaxMailing LocationMailing Address760 E Elm Ave, Apt D, Coalinga, CA 93210-1548Phone(559) 353-1601FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer