Individual
ALISA SLAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 IRVING RD, RANDOLPH, MA 02368-1867
(857) 540-1857
Mailing address
1704 IRVING RD, RANDOLPH, MA 02368-1867
(857) 540-1857
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59996
MA
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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