Individual
WONDA JEAN GLASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
510 N 19TH ST LOT 48, CANON CITY, CO 81212-2467
(719) 252-6013
Mailing address
1460 RED CANYON RD, P.O. BOX 83, CANON CITY, CO 81212-8828
(719) 252-6013
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
513342
CO
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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