Individual
NICOLE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6908 SAND PEBBLE AVE, TEMPLE TERRACE, FL 33637-5655
(813) 527-8812
Mailing address
6908 SAND PEBBLE AVE, TEMPLE TERRACE, FL 33637-5655
(813) 527-8812
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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