Individual
MRS. SHAQUANA SHANICE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 GLENVIEW AVE, KANNAPOLIS, NC 28081-7534
(704) 906-8458
Mailing address
219 W MILLS AVE, MOORESVILLE, NC 28115-3232
(704) 906-8458
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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