Individual
MS. JANE ZENAIDA GLASGOW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29250 COUNTY HWY E, MASON, WI 54856-1072
(715) 765-4791
Mailing address
420 BAXTER AVE, SUPERIOR, WI 54880-1240
(715) 394-4087
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38320100
—
WI
Enumeration date
03/20/2006
Last updated
07/09/2007
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