MR. Glen Dale Herman

NPI #1083897748 in Crookston, Minnesota

Provider Information

NPI Number
1083897748
Entity Type
Individual
Name
MR. Glen Dale Herman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Dec 17, 2007
Last Updated
Dec 17, 2007

Practice Location

Address
27885 170TH AVE SW
ZIP Code
56716-9444
Phone
(218) 281-3506

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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