Individual
PRISCILLA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 COVEY PL, TRENTON, OH 45067-9012
(205) 470-1419
Mailing address
122 COVEY PL, TRENTON, OH 45067-9012
(205) 470-1419
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/22/2024
Last updated
04/24/2024
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