Individual
GLENN T ROYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HSC
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7491
(707) 765-7773
Mailing address
599 TOMALES RD, PETALUMA, CA 94952
(707) 765-7491
(707) 765-7773
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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