Individual
MS. VANESSA E GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
1014 SAN JUAN AVE, EXETER, CA 93221-1312
(559) 592-7353
Mailing address
410W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 592-7353
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6399
CA
Other
Enumeration date
11/06/2006
Last updated
10/23/2015
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