Individual
ANDREA C SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 MICHIGAN AVE, NITRO, WV 25143-2456
(304) 747-0909
Mailing address
509 MICHIGAN AVE, NITRO, WV 25143-2456
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
11/01/2024
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