Individual
ANNETTE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 NORMANDY DR, HORN LAKE, MS 38637-1615
(872) 235-3166
Mailing address
3130 NORMANDY DR, HORN LAKE, MS 38637-1615
(872) 235-3166
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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