Individual
ANTOINETTE DELORISE SLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN447592
OH
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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