Individual
SHARON VAUGHAN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 BANK ST, CLAY, WV 25043
(304) 587-9992
Mailing address
PO BOX 835, CLAY, WV 25043-0835
(304) 587-9992
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
79188
WV
Other
Enumeration date
07/14/2020
Last updated
12/03/2020
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