Individual
REGINA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4661 RED ARROW HWY, STEVENSVILLE, MI 49127-9301
(269) 281-7403
Mailing address
1981 PLAZA DR APT 107, BENTON HARBOR, MI 49022-2220
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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