MARK ANTHONY SLAUGHTER

RIVERSIDE, CA
NPI1013113042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN233655)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2007-06-26
Last Update Date2011-09-22
Business Address
Mr. MARK ANTHONY SLAUGHTER LVN
769 W BLAINE ST
RIVERSIDE, CA 92507-3970
Phone number: 951-358-4705
Mailing Address
Mr. MARK ANTHONY SLAUGHTER LVN
769 BLAINE ST.
RIVERSIDE, CA 92507
Phone number: 909-821-1641