Individual
AVA MARIE SILAS GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME CARE PROVIDER
Contact information
Practice address
1624 CANYON RD APT 39, SPRING VALLEY, CA 91977-6620
(619) 871-5339
Mailing address
1624 CANYON RD APT 39, SPRING VALLEY, CA 91977-6620
(619) 871-5339
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
7511103237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-4894631
NO MEDICATION GIVIN
CA
Enumeration date
04/06/2018
Last updated
04/06/2018
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