Individual
GRACE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1911 MIRABEAU AVE, NEW ORLEANS, LA 70122-3248
(504) 478-9318
Mailing address
1911 MIRABEAU AVE, NEW ORLEANS, LA 70122-3248
(504) 478-9318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214086
LA
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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