Slaughter, Mark Anthony

Slaughter, Mark Anthony is an individual health care provider with primary practice located at 769 W Blaine St , Riverside CA 92507-3970. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is his primary health care specialty. Slaughter, Mark Anthony can be contacted via phone (951) 358-4705.

Contact Information

Primary practice address
769 W Blaine St Riverside CA 92507-3970
Phone: (951) 358-4705
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN233655 California

Profile Details

NPI number 1013113042
LBN Legal business name Slaughter, Mark Anthony
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Sep 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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