NPI 1043443898

Carrie van Slyke

Practitioner Contractor Maricopa, AZ

Practice location

Address: 20984 N Leona Blvd, Maricopa, AZ 85238-5508
Phone: (520) 450-2282

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1043443898
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2009
Record last updated: 27 Aug 2009

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.