Individual
MR. GLENN JOSEPH PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
00018987
CA
2278G1100X
General Care Certified Respiratory Therapist
00018987
CA
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
00018987
CA
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
Primary
00018987
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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