Individual
JENA J SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
22100 108TH AVE E, GRAHAM, WA 98338-8871
(253) 683-6183
Mailing address
22100 108TH AVE E, GRAHAM, WA 98338-8871
(253) 683-6183
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60433631
WA
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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