Individual
MARK THOMAS GLESENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7510 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 579-0738
Mailing address
1518 W 10TH AVE, KENNEWICK, WA 99336-5268
(720) 360-9521
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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