Individual
LEAH GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
21180 N 87TH AVE, PEORIA, AZ 85382-6497
(623) 412-5229
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 487-5189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222704
AZ
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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