Individual
MR. GLENN ARTHUR CAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
23154 AMBASSADOR AVE, PORT CHARLOTTE, FL 33954-3540
(941) 204-1992
Mailing address
23154 AMBASSADOR AVE, PORT CHARLOTTE, FL 33954-3540
(941) 204-1992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34607
AK
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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