Individual
CARMEN MARIE SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1285 S LARKSPUR ST, GILBERT, AZ 85296-4024
(605) 261-7138
Mailing address
1285 S LARKSPUR ST, GILBERT, AZ 85296-4024
(605) 261-7138
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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