Individual
MRS. LAURA EILEEN GLENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
535A W BROADWAY, LONG BEACH, NY 11561-3000
(516) 432-3119
Mailing address
535A W BROADWAY, LONG BEACH, NY 11561-3000
(516) 432-3119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005848-1
NY
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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