Individual
MS. JUANITA GALE SLAIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
110916 S 4756 RD, MULDROW, OK 74948-5313
(479) 739-0106
Mailing address
110916 S 4756 RD, MULDROW, OK 74948-5313
(479) 739-0106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R22646
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R22646
REGISTERED NURSE LICENSE
AR
Enumeration date
07/22/2010
Last updated
07/22/2010
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