Individual
MR. GLEN AQUILLA REELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
110 S NORTH ST, SEAFORD, DE 19973
(302) 629-0278
(302) 629-0278
Mailing address
110 S NORTH ST, SEAFORD, DE 19973
(302) 629-0278
(302) 629-0278
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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