Individual
MILDRED SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9655 LAS VEGAS BLVD S, LAS VEGAS, NV 89123-3386
(602) 363-6278
Mailing address
9655 LAS VEGAS BLVD S, LAS VEGAS, NV 89123-3386
(602) 363-6278
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605500429
DRIVERS LICENSE
NV
Enumeration date
03/01/2019
Last updated
03/01/2019
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