Individual
GLEN ASHLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 189, BROOKLYN, MI 49230-0189
(517) 592-1974
Mailing address
PO BOX 189, BROOKLYN, MI 49230-0189
(517) 592-1974
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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