Individual
SHERYL GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
GA
376K00000X
Nurse's Aide
Primary
CN0008961597
GA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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