Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD20140 | DC |
NPI | 1194378034 |
---|---|
Provider Name | Shelley Ruth Slaughter |
First Address | Silver Spring, MD 20993-0002 |
Second Address | Silver Spring, MD 20993-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2019 |
Last Update Date | 19/07/2019 |