GLENN BEALL

OAKLAND, NJ
NPI1790204063
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: NJ  45PO00017000)
Enumeration Date2017-09-18
Last Update Date2017-09-18
Business Address
GLENN BEALL CPO
48 HIAWATHA BLVD
OAKLAND, NJ 07436-2919
Phone number: 619-867-6094
Mailing Address
GLENN BEALL CPO
48 HIAWATHA BLVD
OAKLAND, NJ 07436-2919
Phone number: