Individual
JERRY LEROY SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 9TH ST SE APT 419, WASHINGTON, DC 20032-4021
(202) 702-6322
Mailing address
438 RIDGE RD APT 5, GREENBELT, MD 20770-1641
(202) 222-8236
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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