NPI | 1245517804 |
---|---|
Other Name | RUSSELL SLAUGH |
Entity Type | Organization |
Authorized Contact | RUSSELL R SLAUGH Optometrist 760-228-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14240) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2018-06-20 |