Individual
BENJAMIN SLAYBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3517 CAMINO DEL RIO S STE 404, STE. 404, SAN DIEGO, CA 92108-4039
(619) 963-2362
Mailing address
3517 CAMINO DEL RIO S STE 404, SAN DIEGO, CA 92108-4039
(619) 963-2362
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
5039
CA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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