Individual
GARY GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 W CHEYENNE AVE, 2909 WHITE PEAKS, N LAS VEGAS, NV 89030-7807
(702) 834-4703
Mailing address
1316 JEFFERSON AVE, LAS VEGAS, NV 89106-2858
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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