Individual
GLENDA J GAYHEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8385 E KY8, VANCEBURG, KY 41179
(606) 757-3237
Mailing address
PO BOX 723, GARRISON, KY 41141-0723
(606) 757-3237
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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