SearchVirginia332B00000X

Simeon Slayton, MS

NPI 1770833030 · on the registry since 2012 · sole proprietor

Practice

Address
10519 Godwin Dr
Manassas, VA 20112
Phone
(703) 489-9300
Fax
(703) 530-0961
Organisation at this address
Unique Homes
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332B00000X
332B00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-14

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 Virginia