Individual
CYNTHIA LOU GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 STAUNTON AVE SE, CHARLESTON, WV 25304-1538
(814) 771-1115
Mailing address
3808 STAUNTON AVE SE, CHARLESTON, WV 25304-1538
(814) 771-1115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35119
WV
164W00000X
Licensed Practical Nurse
LP54125
MD
164W00000X
Licensed Practical Nurse
PN250764L
PA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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