Individual
MRS. SHAVON KAE SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BIRTH DOULA
Contact information
Practice address
6619 AINTREE DR, PASCO, WA 99301-2743
(509) 440-0435
Mailing address
6619 AINTREE DR, PASCO, WA 99301-2743
(509) 440-0435
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
BDC.BD.70071280
WA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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