Individual
CARRIE LYNN SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3358 PONCA PATH, SAN ANGELO, TX 76901-1678
(832) 477-1138
Mailing address
3358 PONCA PATH, SAN ANGELO, TX 76901-1678
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
196027
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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