Individual
MRS. J-LYN M GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2401 BRISTOL CT SW STE 101, OLYMPIA, WA 98502-6003
(360) 451-5337
Mailing address
1005 KIWI CT NW, OLYMPIA, WA 98502-4477
(360) 451-5337
(360) 357-4880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60181857
WA
Other
Enumeration date
10/05/2010
Last updated
01/30/2019
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