Individual
DAISIA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2950 ROBINSON FOREST RD, POWDER SPRINGS, GA 30127-7020
(678) 435-7149
Mailing address
2950 ROBINSON FOREST RD, POWDER SPRINGS, GA 30127-7020
(678) 435-7149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011021
GA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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