Individual
MR. SIMEON CHARLES SLAYTON II
Active
Individual
MR. SIMEON CHARLES SLAYTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2705 124382
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12L24920
UNIQUE HOMES BUSINESS LICENSE
VA
01
—
2705-124382
CONTRACTORS LISENCE
VA
Enumeration date
09/14/2012
Last updated
09/14/2012
Update your record
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