Tyler J Glenn
Tyler J Glenn is a Peer Specialist in Crestline, California. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
340 Hwy 138Crestline, CA 92325
Phone: (909) 336-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1518514322 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 26, 2019 |
| Last updated in NPPES | May 7, 2024 |
| Certification date | December 21, 2023 |
| Mailing address | Po Box 6300, Crestline, CA 92325-6300 |
Other providers in Crestline
-
MS. Raquel J Comstock
340 Hwy 138, Crestline, CA 92325 · (909) 698-7206
-
Natasha Charlene Gordon
340 Hwy 138, Crestline, CA 92325 · (909) 336-3330
-
Miss. Angela Marguerite Harrington
340 Ca Hwy 138, Crestline, CA 92325 · (909) 336-3330