LEVI SLACK

BATON ROUGE, LA
NPI1326424300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-08-01
Last Update Date2015-08-01
Business Address
-- LEVI SLACK
112 HUEY P LONG FIELDHOUSE
BATON ROUGE, LA 70803-0001
Phone number: 225-578-7175
Mailing Address
-- LEVI SLACK
112 HUEY P LONG FIELDHOUSE
BATON ROUGE, LA 70803-0001
Phone number:
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