Nijole Glaze M.D.

NPI 1356414262 - Internal Medicine - 207R00000X

NPI Details
NPI 1356414262
Gender Female
Enumeration Date 11/16/2006
Last Updated 07/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3611 MARTIN LUTHER KING
#102
LYNWOOD CA, 90262, US
Phone (310) 608-3600
Fax
Business Location
P.O. BOX 27206
LOS ANGELES CA, 90027, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A36700
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According to our database, Nijole Glaze M.D. NPI is 1356414262, taxonomy code is 207R00000X and license number is A36700, license state is located at California. Nijole Glaze M.D. physically located at 3611 Martin Luther King, Lynwood CA, 90262. NPI Number Nijole Glaze M.D. has the Individual type.

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1356414262 NPI number is provided on an as is basis without warranty of any kind. 1356414262 is maintained by the National Plan & Provider Enumeration System. The contents of Nijole Glaze M.D. are for informational purposes only.