Individual
SHELLEATHA DUNN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3029 CHIPPENDALE RD, RALEIGH, NC 27604-3781
(919) 981-6317
Mailing address
3029 CHIPPENDALE RD, RALEIGH, NC 27604-3781
(919) 981-6317
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
ND
251E00000X
Home Health Agency
—
—
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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