Individual
MRS. JANELL RUTH GLOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-2120
Mailing address
224 MILLBROOK WAY, VACAVILLE, CA 95687-5927
(707) 784-8634
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH 6254
CA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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