Individual
GLENN GIL ZOLETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 795-9901
Mailing address
200 W MILFORD ST APT 507, GLENDALE, CA 91203-5551
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
658408
CA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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