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Individual

PIA SLAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15664 N 164TH LN, SURPRISE, AZ 85388-1117
(623) 214-9262
Mailing address
15664 N 164TH LN, SURPRISE, AZ 85388-1117
(623) 214-9262

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6494H
AZ

Other

Enumeration date
10/19/2018
Last updated
10/19/2018
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