Most Relevant Information
Provider Data
| NPI Number: | 1003681230 |
| Provider Name: | LEAH SUZANNE GLAVAN BSN RN CIS |
| Entity Type: | Individual |
| Taxonomy Code: | 364SI0800X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 481004 |
Most Important Dates
| Enumeration Date: | 11/17/2023 |
| Last Updated: | 11/17/2023 |
Provider Practice Location
4101 TORRANCE BLVD
TORRANCE
CA
905034607
Practice Location Phone/Fax
| Phone: | 3105407676 |
| Fax: |
Provider Mailing Location
1801 LIND AVE SW
RENTON
WA
980573368
Provider Mailing Phone/Fax
| Phone: | 8555374470 |
| Fax: | 8663150607 |