Kylicia Glenn
Technician, Attendant Care Provider in Cedar Hill, TX. Individual provider (NPI-1).
NPI number1164072849
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1164072849
- Entity type
- Individual (NPI-1)
- Name
- Kylicia Glenn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2019
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1411 Oxbow DrCedar Hill, TX 75104-4007
Phone 469-478-9195
Mailing address
1411 Oxbow DrCedar Hill, TX 75104-4007
Phone 469-478-9195
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