Kenisha Slade

NPI #1073161477 in Manvel, Texas

Provider Information

NPI Number
1073161477
Entity Type
Individual
Name
Kenisha Slade
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Aug 28, 2019
Last Updated
Aug 28, 2019

Practice Location

Address
21 LAZY SWING CT
City
Manvel
State
Texas
ZIP Code
77578-1570
Phone
(808) 728-9240

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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