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NPI Code Detail

MEDICARE: JOYCELYN GLENN

MEDICARE:   JOYCELYN  GLENN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy Technician009947LA

General Provider Information

NPI Number : 1730793704
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCELYN GLENN
Provider Business Mailing Address
First Line : 1549 GENTILLY BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-2254
Country : US
Telephone Number : 504-666-4540
Fax Number :
Provider Business Practice Location Address
First Line : 1549 GENTILLY BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-2254
Country : US
Telephone Number : 504-666-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2020
Last Update Date : 09/07/2020

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Directions to “ JOYCELYN GLENN ” Practice Location

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