Individual
DANIELLE NICOLE GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55425 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
(760) 218-8374
Mailing address
1107 DECKER RD, TWENTYNINE PALMS, CA 92277-9783
(760) 905-8042
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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