Individual
KATRINA GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE LPN
Contact information
Practice address
13929 HARPER AVE, DETROIT, MI 48213-3672
(313) 924-8702
Mailing address
13929 HARPER AVE, DETROIT, MI 48213-3672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118933
MI
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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