Individual
DOROTHY JOAN SLAYTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN RNFA
Contact information
Practice address
2632 WINTERS DRIVE, MODESTO, CA 95355
(209) 571-8330
(209) 491-7184
Mailing address
2632 WINTERS DRIVE, MODESTO, CA 95355
(209) 575-3545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161994
CA
208600000X
Surgery Physician
Primary
161994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161994
STATE LICENSE NUMBER
CA
Enumeration date
05/12/2006
Last updated
07/10/2008
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