SearchCalifornia101YA0400X

Genevra Glenn

NPI 1861810244 · on the registry since 2014

Practice

Address
2781 W Ramsey
Suite 1
Banning, CA 92220
Phone
(951) 849-3896
Fax
(951) 849-0506

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California