Individual
MS. GWENDOLYN FRANCES GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
150 FORTENBERRY RD, SUITE E, MERRITT ISLAND, FL 32952-3681
(321) 452-2255
(321) 452-8863
Mailing address
150 FORTENBERRY RD, SUITE E, MERRITT ISLAND, FL 32952-3681
(321) 452-2255
(321) 452-8863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA#23771
FL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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