Individual
MIKKA SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
1503 UNIVERSITY AVE, MONROE, LA 71203-3550
(318) 376-3424
Mailing address
1503 UNIVERSITY AVE, MONROE, LA 71203-3550
(318) 376-3424
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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