Individual
MR. GLENN AURELLANO GANIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-7131
(949) 642-2734
Mailing address
301 VICTORIA ST, COSTA MESA, CA 92627-7131
(949) 642-2734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN530380
CA
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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