Search › Louisiana › 101YM0800X
Brandon Slacks
NPI 1972055804 · on the registry since 2016 · sole proprietor
Practice
- Address
- 117 Carolyn St
Mansfield, LA 71052 - Phone
- (318) 461-1215
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana