JOSPEH W GLENN

TACOMA, WA
NPI1063739621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AR  A02941)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: OH  COA 09013-NP)
Enumeration Date2010-04-22
Last Update Date2012-11-05
Business Address
-- JOSPEH W GLENN NP-C
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER WTB CLINIC
TACOMA, WA 98431-5000
Phone number: 785-239-7582
Mailing Address
-- JOSPEH W GLENN NP-C
PO BOX 33194
FORT LEWIS, WA 98433-0194
Phone number: 216-702-6833