Individual
ISABELLE RUTH GLIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 BRETON RD SE, GRAND RAPIDS, MI 49512-1745
(616) 243-4336
Mailing address
2925 BRETON RD SE, GRAND RAPIDS, MI 49512-1745
(616) 243-4336
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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