Organization
PAIR OF SLACKS, LLC
Active
Organization
PAIR OF SLACKS, LLC
Active
Other names
Old Town Scottsdale Weight Loss & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AUSTIN SLACK NP-C (NURSE PRACTITIONER/OWNER)
(480) 360-2299
Entity
Organization
Contact information
Practice address
4032 N MILLER RD STE 108, SCOTTSDALE, AZ 85251-4572
(520) 248-9772
Mailing address
4032 N MILLER RD STE 108, SCOTTSDALE, AZ 85251-4572
(520) 248-9772
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
APN3104
AZ
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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