Individual
LUCINDA GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
164 E FRONTAGE ST, MANCOS, CO 81328
(970) 533-1024
Mailing address
PO BOX 688, MANCOS, CO 81328-0688
(970) 533-1024
(970) 533-1025
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3351
CO
Other
Enumeration date
08/09/2005
Last updated
05/17/2011
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