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Mr. Mark Anthony Slaughter SR., LVN
Licensed Vocational Nurse in Riverside, California
NPI 1013113042

Mark Anthony Slaughter SR. is a Licensed Vocational Nurse based in Riverside, CA. Mark Anthony Slaughter SR. practices in Riverside, CA and has the professional credentials of LVN. The NPI Number for Mark Anthony Slaughter SR. is 1013113042 and holds a License No. (California).

The current practice location address for Mark Anthony Slaughter SR. is 769 W Blaine St, Riverside, CA and can be reached out via phone at 951-358-4705. You can also correspond with Mark Anthony Slaughter SR. through the mailing address at 769 BLAINE ST., RIVERSIDE, CA - 92507 (mailing address contact number: 909-821-1641).

Location: 769 W Blaine St, Riverside, CA, 92507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013113042
Provider Name
Mark Anthony Slaughter SR.
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
769 W Blaine St, Riverside, CA, 92507
Phone Number
951-358-4705
Fax Number
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
769 W Blaine St
City
Riverside
State
California
Zip
92507-3970
Phone Number
951-358-4705
Fax Number
person
Provider Business Mailing Address Details
Address
769 W Blaine St
City
Riverside
State
California
Zip
92507-3970
Phone Number
951-358-4705
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
VN233655 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
()
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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