Individual
MIZPAH S GLENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
814 WASHINGTON ST, HUNTINGDON, PA 16652-1726
(814) 643-4415
(814) 643-2620
Mailing address
814 WASHINGTON ST, HUNTINGDON, PA 16652-1726
(814) 643-4415
(814) 643-2620
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053073
PA
Other
Enumeration date
08/07/2009
Last updated
06/02/2011
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