Individual
GERALDINE GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 FRONTAGE RD, SUITE 208, KENAI, AK 99611-7755
(907) 283-0811
Mailing address
607 SW HIGGINS AVE, MISSOULA, MT 59803-1468
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM6101
ALASKA
AK
Enumeration date
06/24/2011
Last updated
06/24/2011
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