Individual
ETHAN RECE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
363 LAKEVIEW ST, STEELE, AL 35987-2222
(256) 490-2880
Mailing address
363 LAKEVIEW ST, STEELE, AL 35987-2222
(256) 490-2880
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S14885
AL
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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