Individual
MRS. KRISTAL ELIZABETH-EMIG SLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GRAND AVE, SAN LUIS OBISPO, CA 93407-0388
(805) 756-6065
(805) 756-7058
Mailing address
925 CALLE TIO, NIPOMO, CA 93444-5424
(805) 931-0566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578606521
NPI
CA
Enumeration date
02/15/2007
Last updated
01/06/2017
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