Individual
MS. GLENNA DEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11405 DOZER RD SW, STOUTSVILLE, OH 43154-9732
(740) 412-1065
Mailing address
11405 DOZER RD SW, STOUTSVILLE, OH 43154-9732
(740) 412-1065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN239866
OH
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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