Individual
STEPHANIE DAVIS SLATER DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1153 CENTRE ST, JAMAICA PLAIN, MA 02130-3446
(617) 983-7000
Mailing address
567 FRANKLIN ST APT 2, CAMBRIDGE, MA 02139-2923
(845) 901-9211
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN2329699
MA
Other
Enumeration date
06/04/2021
Last updated
12/02/2021
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