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Individual

DR. JODI L GLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
254 4TH ST, PROVIDENCE, RI 02906-3754
(401) 272-4292
Mailing address
254 4TH ST, PROVIDENCE, RI 02906-3754
(401) 272-4292

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD00029
RI
332S00000X
Hearing Aid Equipment

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
409826
SS BCHIP
RI
Enumeration date
07/11/2006
Last updated
11/29/2010
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