Individual provider · Type 1 NPI
Glenn Patrick Tajalle
Other Specialist/Technologist · Corona, CA
NPI number
1003512971
Active
Practice location
161 Exeter Way
Corona, CA 92882-8502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Other other specialist/technologist providers in Corona
About NPI 1003512971
Glenn Patrick Tajalle's National Provider Identifier is 1003512971, issued on Feb 2, 2023. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Corona, CA. The record was last updated on Feb 2, 2023.