Individual
JENNA MARIE GLODOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Mailing address
2142 E SYCAMORE ST, REPUBLIC, MO 65738-2682
(608) 333-2771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024011214
MO
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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