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Organization
NIJOLE GLAZE ,M.D.
Active
Organization
NIJOLE GLAZE ,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIJOLE GLAZE M.D (PHYSICIAN)
(213) 385-0016
Entity
Organization
Contact information
Practice address
937 S ALVARADO ST STE 1D, LOS ANGELES, CA 90006-3037
(213) 385-0016
Mailing address
937 S ALVARADO ST STE 1D, LOS ANGELES, CA 90006-3037
(213) 385-0016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63700
CA
207R00000X
Internal Medicine Physician
PA14180
CA
Other
Enumeration date
12/05/2012
Last updated
01/08/2013
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