| Glo Therapeutics, Llc | |
|
3213 Florida Ave Suite D Kenner LA 70065-3697 | |
| (504) 466-2266 | |
| (504) 466-2244 |
| Full Name | Glo Therapeutics, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3213 Florida Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Gina L Orihuela (OWNER) |
| Authorized Official Contact | 5044662266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glo Therapeutics, Llc 3213 Florida Ave Suite D Kenner LA 70065-3697 Ph: () - | Glo Therapeutics, Llc 3213 Florida Ave Suite D Kenner LA 70065-3697 Ph: (504) 466-2266 |
| NPI Number | 1639423759 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639423759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4763 (Louisiana) | Primary |
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