Individual
ANGELA SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN-230804
Contact information
Practice address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
(601) 718-2487
Mailing address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
(601) 718-2487
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
230804
MS
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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