Individual
GLENDA KAY LEVASSEUR IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 N 200 E, CEDAR CITY, UT 84720-2615
(435) 586-2515
(435) 865-7606
Mailing address
54 N 200 E, CEDAR CITY, UT 84720-2615
(435) 586-2515
(435) 865-7606
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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