MISS Summer Sierra Glenn

NPI #1023762192 in Chattanooga, Tennessee

Provider Information

NPI Number: 1023762192
Entity Type: Individual
Name: MISS Summer Sierra Glenn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 8, 2022
Last Updated: Feb 8, 2022

Practice Location

Address: 6055 SHALLOWFORD RD
City: Chattanooga
State: Tennessee
ZIP Code: 37421-1688
Phone: (423) 266-6751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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