Individual
MS. GRETCHEN A GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 888-8887
Mailing address
12649 W SUPERIOR ST, STAR, ID 83669-1218
(208) 900-8423
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
ID
Other
Enumeration date
03/06/2007
Last updated
10/28/2025
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