GENEVRA DIANA GLENN

BANNING, CA
NPI1861810244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11980613)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
Mrs. GENEVRA DIANA GLENN
2781 W RAMSEY SUITE 1
BANNING, CA 92220
Phone number: 951-849-3896
Mailing Address
Mrs. GENEVRA DIANA GLENN
2781 W RAMSEY
BANNING, CA 92220
Phone number: 951-849-3896
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