Individual
TINA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 US ROUTE 60, CULLODEN, WV 25510-7288
(304) 444-4564
Mailing address
221 US ROUTE 60, CULLODEN, WV 25510-7288
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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