Individual
DEBBIE SLACK-GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1320 PUTNAM ST, ANTIOCH, CA 94509-5310
(559) 903-5655
Mailing address
1320 PUTNAM ST, ANTIOCH, CA 94509-5310
(559) 903-5655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001268
CA
Other
Enumeration date
07/19/2014
Last updated
05/04/2023
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