Individual
MRS. ANNE KRISTEN GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6562
(601) 918-2086
Mailing address
134 CORNERSTONE DR, SLIDELL, LA 70461-5388
(662) 380-3886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T-3773
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
04/04/2019
Last updated
07/09/2019
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