Individual
MRS. JENNIFER GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
228 N COLLEGE AVE, HARTWELL, GA 30643-1517
(706) 376-4002
(706) 376-9020
Mailing address
17880 HIGHWAY 106, EASTANOLLEE, GA 30538-1445
(706) 244-5062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN176054
GA
Other
Enumeration date
10/06/2006
Last updated
08/12/2011
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