Individual
JANE MAE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7771 ALIVIA CIR, SPRINGDALE, AR 72762-0895
(479) 841-9881
Mailing address
7771 ALIVIA CIR, SPRINGDALE, AR 72762-0895
(479) 841-9881
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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