Individual
MRS. ERICA DENISE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NA2
Contact information
Practice address
403 E G ST, ELIZABETHTON, TN 37643-3223
(423) 543-2521
(423) 543-7348
Mailing address
403 E G ST, ELIZABETHTON, TN 37643-3223
(423) 543-2521
(423) 543-7348
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
88120
TN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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