Search › West Virginia › 172V00000X
Renea Slack
NPI 1760074736 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1302 Grishaber St
South Charleston, WV 25303 - Phone
- (304) 539-1554
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2021-02-10
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 West Virginia