DANIELLE TIFFANY SLATE

SPRINGFIELD, OR
NPI1336620061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201230117LPN)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
DANIELLE TIFFANY SLATE
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 541-682-3550
Mailing Address
DANIELLE TIFFANY SLATE
2073 OLYMPIC ST
SPRINGFIELD, OR 97477-3413
Phone number: 503-753-5759
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