Individual
DR. JANICE S GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 BELLE CHASSE HIGHWAY, SUITE 201 A, GRETNA, LA 70056-7156
(504) 391-1087
(504) 391-1073
Mailing address
2600 BELLE CHASSE HIGHWAY, SUITE 201 A, GRETNA, LA 70056-7156
(504) 391-1087
(504) 391-1073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08593R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1910104
—
LA
Enumeration date
07/28/2006
Last updated
07/08/2007
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