Individual
MS. DEBBIE A GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29 RODGERS RD, FAIRFIELD, CT 06824-7634
(347) 495-8037
Mailing address
29 RODGERS RD, FAIRFIELD, CT 06824-7634
(347) 495-8037
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
217673-1
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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