Individual
PAMELA H GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 HIGHWAY 51 S, RIPLEY, TN 38063-4583
(731) 635-9711
Mailing address
500 HIGHWAY 51 S, RIPLEY, TN 38063-4583
(731) 635-9711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
66720
TN
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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