Individual
GLENN CHARLES WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 CLARKWOOD PKWY APT 627, CLEVELAND, OH 44128-6028
(216) 255-8919
Mailing address
4400 CLARKWOOD PKWY APT 627, CLEVELAND, OH 44128-6028
(216) 255-8919
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
186868
OH
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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