Individual
LUIS ALEXANDER GLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NORFOLK NAVAL SHIPYARD, BLDG 15, PORTSMOUTH, VA 23709
(757) 967-4200
Mailing address
7033 KENNY LN, PORTSMOUTH, VA 23703-2637
(760) 429-8870
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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