Individual
JASON MONROE SLABACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
645 S SUNSET DR, WINSTON SALEM, NC 27103-3852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
294177
NC
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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