Jenise Slater

NPI #1972919173 in Columbus, Ohio

Provider Information

NPI Number: 1972919173
Entity Type: Individual
Name: Jenise Slater
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jul 8, 2014
Last Updated: Jul 8, 2014

Practice Location

Address: 3212 FAIRWOOD AVE
City: Columbus
State: Ohio
ZIP Code: 43207-3252
Phone: (614) 456-9225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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