Individual
JASON SLAYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7013 WINDMILL LN, LAKE CHARLES, LA 70605-0535
(337) 370-1493
Mailing address
7013 WINDMILL LN, LAKE CHARLES, LA 70605-0535
(337) 370-1493
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R095327
AR
163W00000X
Registered Nurse
RN130632
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP08928
LA
Other
Enumeration date
02/16/2016
Last updated
05/09/2017
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