Individual
GERAD SLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW, CMPSS, BCST,MHF
Contact information
Practice address
140 CALAVERAS AVE, MODESTO, CA 95354-3621
(209) 241-1625
Mailing address
110 WISENOR AVE SPC 19, MODESTO, CA 95351-4058
(209) 241-1625
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MPSS-NGBECZ
CA
175T00000X
Peer Specialist
MPSS-NGBECZ
CA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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