Individual
MS. DANYIELE ELLESE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2850 W GRAND BLVD, DETROIT, MI 48202-2643
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704259773
MI
Other
Enumeration date
01/31/2011
Last updated
10/21/2024
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