| NPI | 1376014456 |
|---|---|
| Former Name | VALERIE JEAN GLYSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601000407) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |