Individual
GLENNA GRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 SUNSET DR, BOGALUSA, LA 70427-8710
(985) 735-1426
(985) 735-1428
Mailing address
1202 SUNSET DR, BOGALUSA, LA 70427-8710
(985) 735-1426
(985) 735-1428
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
02/25/2015
Last updated
03/18/2015
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