Individual
HANNAH P. GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
39000 BOB HOPE DRIVE, HARRY AND DIANE RINKER BLG, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 341-5832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57118
CA
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/08/2018
Last updated
04/05/2023
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