Renerick S Slack, OD

NPI #1144453812 in California, Maryland

Provider Information

NPI Number: 1144453812
Entity Type: Individual
Name: Renerick S Slack, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 28, 2009
Last Updated: Mar 18, 2021

Practice Location

Address: 23105 THREE NOTCH RD STE A
City: California
State: Maryland
ZIP Code: 20619-2417
Phone: (301) 863-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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