Individual
KENYA SLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3119 CASSINIA PKWY, HEARTLAND, TX 75126-0767
(706) 267-0047
Mailing address
3119 CASSINIA PARKWAY, HEARTLAND, TX 75126-0767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
842531
TX
Other
Enumeration date
08/05/2017
Last updated
08/05/2017
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