Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | WA |
NPI | 1427172154 |
---|---|
Provider Name | Mr. Glenn D. Curry |
First Address | Coupeville, WA 98239-0400 |
Second Address | Coupeville, WA 98239-0400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |