Individual
MS. JANINE RUTH GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD,CNSD
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6043
Mailing address
PO BOX 391, SANTA TERESA, NM 88008-0391
(915) 920-7585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05747
TX
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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