Individual
BRENDA SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17160 130TH AVE, NUNICA, MI 49448-9450
(616) 847-4460
Mailing address
14961 KELLY ST, SPRING LAKE, MI 49456-1533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704162162
MI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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