Individual
GLORY ASHLEY PETNKEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0002
(701) 446-7505
Mailing address
524 13TH AVE NW, WEST FARGO, ND 58078-3614
(701) 446-7505
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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