Individual
DANIELLE JOYCE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 W ANTELOPE DR, LAYTON, UT 84041-1630
(801) 499-6535
Mailing address
761 W ANTELOPE DR, LAYTON, UT 84041-1630
(801) 499-6535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6830653-4701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6830653-4701
MASSAGE THERAPIST
UT
Enumeration date
12/11/2018
Last updated
12/11/2018
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