Individual
RICHARD JACOB GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 GOVERNMENT CENTER LN, VERONA, VA 24482-2639
(540) 245-5100
Mailing address
18 GOVERNMENT CENTER LN, VERONA, VA 24482-2639
(540) 245-5100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000318
VA
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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