Yancy, Glory Sistar

Yancy, Glory Sistar is an sole proprietor health care provider with primary practice located at 1325 Stratford Ln , Clovis NM 88101-4917. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Religious Nonmedical Practitioner, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Yancy, Glory Sistar can be contacted via phone (501) 502-6676.

Contact Information

Primary practice address
1325 Stratford Ln Clovis NM 88101-4917
Phone: (501) 502-6676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X BCCC0014 New Mexico

Profile Details

NPI number 1245094846
LBN Legal business name Yancy, Glory Sistar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2024
Last updated Feb 13th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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