NPI | 1336868066 |
---|---|
Professional Name | JUSTIN LEE GLANCY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E6171) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA EL7061) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-08-25 |
Last Update Date | 2025-08-27 |