Individual
MS. DIANE GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8175
(251) 690-8976
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8175
(251) 690-8976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-103516
AL
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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