Individual
GLENN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95-270 WAIKALANI DR, APT B104, MILILANI, HI 96789-3527
(808) 369-5820
Mailing address
95-270 WAIKALANI DR, APT B104, MILILANI, HI 96789-3527
(808) 369-5820
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 176642
CA
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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