Individual
DANIEL ALAN SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4234 MAPLE LEAF DR, NEW ORLEANS, LA 70131-7425
(480) 298-2967
Mailing address
4234 MAPLE LEAF DR, NEW ORLEANS, LA 70131-7425
(480) 298-2967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN215695
AZ
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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