Individual
MARCUS EUGENE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT #22638
Contact information
Practice address
PO BOX 231, POLKVILLE, NC 28136-0231
(980) 484-7011
Mailing address
PO BOX 231, POLKVILLE, NC 28136-0231
(980) 484-7011
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMBT22638
NC
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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