Individual
GLENDA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 S 34TH ST, COUNCIL BLUFFS, IA 51501-7051
(712) 269-1892
Mailing address
1117 S 34TH ST, COUNCIL BLUFFS, IA 51501-7051
(712) 269-1892
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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