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Individual

AMANDA L GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
43 W RIDGE PIKE, LIMERICK, PA 19468-1711
(610) 226-6200
(610) 226-6201
Mailing address
43 W RIDGE PIKE, LIMERICK, PA 19468-1711
(610) 226-6200
(610) 226-6201

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/02/2013
Last updated
12/13/2019
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