Individual
MR. WENDELL D GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
346 COLEMAN RD, CLINTON, SC 29325-6936
(864) 872-5310
Mailing address
346 COLEMAN RD, CLINTON, SC 29325-6936
(864) 872-5310
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1639470172
NV
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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