Most Relevant Information
Provider Data
| NPI Number: | 1003544503 |
| Provider Name: | SHAYNA MARIE GLASER |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/11/2022 |
| Last Updated: | 08/11/2022 |
Provider Practice Location
414 4TH AVE NE
DEVILS LAKE
ND
583012458
Practice Location Phone/Fax
| Phone: | 7012156855 |
| Fax: |
Provider Mailing Location
829 SUNSET DR
DEVILS LAKE
ND
583018668
Provider Mailing Phone/Fax
| Phone: | 7012156855 |
| Fax: |