Individual
MS. WENDY KAY GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
221 3RD AVE SW, CLEARBROOK, MN 56634-4241
(218) 776-3508
(218) 776-3507
Mailing address
PO BOX 183, CLEARBROOK, MN 56634-4241
(218) 776-3508
(218) 776-3507
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1440614
RN LICENSE NUMBER
MN
Enumeration date
10/19/2017
Last updated
10/19/2017
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