Organization
JANICE A GLOVER
Active
Other names
Puget Sound Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE A GLOVER (OWNER)
(206) 935-8704
Entity
Organization
Contact information
Practice address
9726 44TH AVE SW, SEATTLE, WA 98136-2705
(206) 935-8704
(206) 935-8704
Mailing address
9726 44TH AVE SW, SEATTLE, WA 98136-2705
(206) 935-8704
(206) 935-8704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600 602 193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004052
—
WA
Enumeration date
02/13/2008
Last updated
06/16/2008
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