Individual
MS. STACEY SLAYBACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3800 RESERVOIR RD NW, DEPARTMENT OF ORTHOPAEDICS, WASHINGTON, DC 20007-2113
(202) 444-8766
Mailing address
1487 CEDARHURST RD, SHADY SIDE, MD 20764-9508
(301) 261-5776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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