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Individual

TAMI S GLENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
10 WOODLAND RD., SAINT HELENA, CA 94574-9554
(707) 963-3611
(707) 967-5622
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201340251RN
OR
163W00000X
Registered Nurse
567793
CA
163W00000X
Registered Nurse
RN00137861
WA
367500000X
Certified Registered Nurse Anesthetist
201360008CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
4118
CA
367500000X
Certified Registered Nurse Anesthetist
AP60098103
WA

Other

Enumeration date
05/29/2009
Last updated
03/22/2016
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