MRS. Glenda Sue Stidham, IECE CERTIFIED
NPI #1598966459 in Manchester, Kentucky
Provider Information
- NPI Number
- 1598966459
- Entity Type
- Individual
- Name
- MRS. Glenda Sue Stidham, IECE CERTIFIED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Public Health, State or Local
- Credential
- IECE CERTIFIED
- Enumeration Date
- May 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 57 MILLER RD
- City
- Manchester
- State
- Kentucky
- ZIP Code
- 40962-5714
- Phone
- (606) 598-2815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, State or Local — Public Health, State or Local |
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