Individual
LAURA MAE SLATALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
140 N LITCHFIELD RD STE 106, GOODYEAR, AZ 85338-1226
(602) 243-7277
Mailing address
240 S OLD LITCHFIELD RD UNIT 104, LITCHFIELD PARK, AZ 85340-4708
(480) 567-5508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86109207
AZ
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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