Individual
JACQUELINE SLAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
582 COUNTY ROAD 148, KENEDY, TX 78119-4409
(361) 894-3227
Mailing address
582 COUNTY ROAD 148, KENEDY, TX 78119-4409
(361) 894-3227
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
191149
TX
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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