Tara Lynn Glenn

NPI 1245591072 - Specialist - 174400000X

NPI Details
NPI 1245591072
Gender Female
Enumeration Date 06/07/2012
Last Updated 06/07/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
34 WINDING PATH
APARTMENT 4
MANORVILLE NY, 11949-2279, US
Phone (631) 848-6336
Fax
Business Location
34 WINDING PATH APT 4
MANORVILLE NY, 11949-2280, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 502824111
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According to our database, Mrs. Tara Lynn Glenn NPI is 1245591072, taxonomy code is 174400000X and license number is 502824111, license state is located at New York. Tara Lynn Glenn physically located at 34 Winding Path, Manorville NY, 11949-2279. NPI Number Tara Lynn Glenn has the Individual type.

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1245591072 NPI number is provided on an as is basis without warranty of any kind. 1245591072 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Lynn Glenn are for informational purposes only.