Individual
MARTA CAMPBELL GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1702 4TH AVE E, OLYMPIA, WA 98506-4534
(360) 357-5330
(360) 943-3399
Mailing address
232 143RD AVE SE, TENINO, WA 98589-9604
(360) 943-3399
(360) 943-3399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008002
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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