Individual
GLENDORA SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
2001 CROSS POINT CV, BRANDON, MS 39042-2165
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
R659339
MS
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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