Most Relevant Information
Provider Data
| NPI Number: | 1003411125 |
| Provider Name: | ELLA SLATER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/04/2020 |
| Last Updated: | 12/07/2020 |
Provider Practice Location
1710 PENNSYLVANIA AVE
CHARLESTON
WV
253023934
Practice Location Phone/Fax
| Phone: | 3043480707 |
| Fax: | 3043443546 |
Provider Mailing Location
1710 PENNSYLVANIA AVE
CHARLESTON
WV
253023934
Provider Mailing Phone/Fax
| Phone: | 3043480707 |
| Fax: | 3043443546 |