Individual
GLENNA BELIN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
905B CALLE ARMADA, ESPANOLA, NM 87532-0000
(505) 753-0505
Mailing address
PO BOX 84, OHKAY OWINGEH, NM 87566-0084
(505) 221-3431
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
18183R
NM
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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