Individual
EMMA V SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 ALDEN ST, SPRINGFIELD, MA 01109
(413) 748-3000
Mailing address
203 HARRISON AVE, SOMERSET, MA 02726-5012
(774) 301-1486
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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