Individual
STACEY RENEE SLAUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 S LANSDOWNE AVE, DAYTON, OH 45417-8525
(937) 723-6229
Mailing address
114 S LANSDOWNE AVE, DAYTON, OH 45417-8525
(937) 301-6006
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RG695183
OH
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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