Individual
ERIKA GLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1455 SATELLITE BLVD NW APT 2304, SUWANEE, GA 30024-4842
(678) 873-2539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN274342
GA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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