Provider Demographics
NPI:1639943673
Name:JAMES, GLENNA EMILY
Entity Type:Individual
Prefix:
First Name:GLENNA
Middle Name:EMILY
Last Name:JAMES
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 1:545 HYSLIP FORD RD
Mailing Address - Street 2:
Mailing Address - City:BUNKER HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25413-4030
Mailing Address - Country:US
Mailing Address - Phone:240-310-9123
Mailing Address - Fax:
Practice Address - Street 1:545 HYSLIP FORD RD
Practice Address - Street 2:
Practice Address - City:BUNKER HILL
Practice Address - State:WV
Practice Address - Zip Code:25413-4030
Practice Address - Country:US
Practice Address - Phone:240-310-9123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach