Individual
GINA MICHELE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
Mailing address
103 MUSTANG TRL, REINHOLDS, PA 17569-9351
(717) 330-3056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065221
PA
Other
Enumeration date
11/17/2023
Last updated
12/12/2023
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