Individual
HOLLY GLENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMP, CERTIFIED R
Contact information
Practice address
1801 W BAY DR NW STE 208-B, OLYMPIA, WA 98502-4310
(360) 528-0683
Mailing address
1801 W BAY DR NW STE 208B, OLYMPIA, WA 98502-4310
(360) 528-0683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60078268
WA
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MA60083520
WA
173C00000X
Reflexologist
—
—
Other
Enumeration date
10/17/2009
Last updated
08/03/2020
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