Individual
MRS. LARESHIA L SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1300 CARAWAY CT, 106, LARGO, MD 20774-5461
(301) 322-9500
(301) 322-2227
Mailing address
PO BOX 6411, UPPER MARLBORO, MD 20792-6411
(301) 322-9500
(301) 322-2227
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9208578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306946000
—
FL
Enumeration date
07/30/2006
Last updated
06/03/2013
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