NPI Profile for GLENDA S STIDHAM in MANCHESTER, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI # | 1598966459 |
|
| Status | Active | |
| Credentials | IECE CERTIFIED | |
| Entity | Individual | |
| Enumeration date | 05/29/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GLENDA S STIDHAM
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