Individual
DR. JERILYN KAY GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18510 BLACK KETTLE DR, BOYDS, MD 20841-4310
(301) 515-1091
Mailing address
18510 BLACK KETTLE DR, BOYDS, MD 20841-4310
(301) 515-1091
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0042957
MD
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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