Individual
DANIELLE SLATERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 B ST, SUITE 1570, SAN DIEGO, CA 92101-4520
(619) 615-0439
Mailing address
600 B ST, SUITE 1570, SAN DIEGO, CA 92101-4520
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
832796
AZ
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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