Individual
MR. WEBSTER DAVID SLACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
24790 VALLEY ST, SANTA CLARITA, CA 91321-2629
(661) 670-2020
Mailing address
16901 NAPA ST APT 215, NORTHRIDGE, CA 91343-5653
(805) 490-8797
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
718243
CA
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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