ANGELIA DAWN SLACK

GALLIPOLIS, OH
NPI1164497178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  COA.06914-NA)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  4064A)
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  36798)
Enumeration Date2006-02-22
Last Update Date2015-02-09
Business Address
-- ANGELIA DAWN SLACK CRNA
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5227
Mailing Address
-- ANGELIA DAWN SLACK CRNA
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5227