Individual
MS. COLLEEN MARIE SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4501 NE 21ST LN, FORT LAUDERDALE, FL 33308-4712
(954) 802-8823
Mailing address
4501 NE 21ST LN, FORT LAUDERDALE, FL 33308-4712
(954) 802-8823
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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