Individual
MR. GLENN C HILDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(850) 505-4700
(850) 505-4711
Mailing address
NEMOURS CHILDREN&APOS S CLINIC, P.O. BOX 409992, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RT6634
FL
227900000X
Registered Respiratory Therapist
RT6634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886758500
—
FL
Enumeration date
07/15/2006
Last updated
05/16/2008
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