DEA SLACK

ORLANDO, FL
NPI1679965297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP 9341156)
Enumeration Date2015-02-19
Last Update Date2022-04-08
Business Address
Mrs. DEA SLACK CRNA
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-667-0505
Mailing Address
Mrs. DEA SLACK CRNA
291 SOUTHHALL LN
MAITLAND, FL 32751-7274
Phone number: 407-667-0444
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