Provider Demographics
NPI:1578985867
Name:GLOWCZEWSKI, HALIAKA
Entity Type:Individual
Prefix:
First Name:HALIAKA
Middle Name:
Last Name:GLOWCZEWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3170 E SUNSET RD STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2755
Mailing Address - Country:US
Mailing Address - Phone:702-629-6000
Mailing Address - Fax:702-629-6001
Practice Address - Street 1:3170 E SUNSET RD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2755
Practice Address - Country:US
Practice Address - Phone:702-629-6000
Practice Address - Fax:702-629-6001
Is Sole Proprietor?:No
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist