NPI 1013113042

Mark Anthony Slaughter, LVN

Practitioner Licensed Vocational Nurse Riverside, CA

Practice location

Address: 769 W Blaine St, Riverside, CA 92507-3970
Phone: (951) 358-4705
Mailing address: 769 Blaine St., Riverside, CA 92507

Registered specialties (2)

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence VN233655 (CA)

Other Licensed Vocational Nurse providers in California →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in California →

Registry record

NPI: 1013113042
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2007
Record last updated: 22 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.