Individual
MR. BOBBY GENE GLOVER JR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11303 WILSHIRE BLVD BLDG 116, LOS ANGELES, CA 90025-5069
(310) 914-4045
Mailing address
11303 WILSHIRE BLVD BLDG 116, LOS ANGELES, CA 90025-5069
(310) 914-4045
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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