Individual
THERESA KIM SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
7180 HIGHLAND DR, PITTSBURGH, PA 15206-1206
(412) 365-5285
Mailing address
427 FORD ST, WEST MIFFLIN, PA 15122-4105
(412) 469-1190
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
818268
PA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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