Individual
JENNIFER GLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18420 AURORA AVE N, SHORELINE, WA 98133-4416
(206) 542-2948
(206) 542-4865
Mailing address
18023 10TH AVE NE, SHORELINE, WA 98155-3723
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR00052676
WA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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