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Individual

LORA SLAYMAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CPCP

Contact information

Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
4615 47TH ST, SAN DIEGO, CA 92115-3210
(858) 576-1700

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN382493
CA

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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