Individual
BRIAN RICHARD GLINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512-6143
(360) 943-1907
Mailing address
3285 FERGUSON ST SW, TUMWATER, WA 98512-6143
(360) 943-1907
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60530185
WA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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