Individual
AARON M GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 E COLORADO BLVD, 300, PASADENA, CA 91107-6622
(626) 577-2261
Mailing address
550 GERONA AVE, SAN GABRIEL, CA 91775-2228
(626) 872-6682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN889
LA COUNTY DMH
CA
Enumeration date
09/08/2010
Last updated
09/08/2010
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