Individual
MR. GLEN WILLIAM TREFRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
929 E FOOTHILL BLVD, 103, UPLAND, CA 91786-4037
(909) 224-9095
(909) 985-9895
Mailing address
PO BOX 1378, UPLAND, CA 91785-1378
(909) 224-9095
(909) 985-9895
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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