Individual
MR. GLENN ARTHUR FORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
915 WALNUT AVE, LONG BEACH, CA 90813-5033
(562) 607-1614
Mailing address
915 WALNUT AVE, LONG BEACH, CA 90813-5033
(562) 607-1614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
401099
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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