MEDICARE: PAMELA DENISE SLOAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	$$$$$$$$$	OH

General Provider Information

NPI Number	:	1144921149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA DENISE SLOAN

Provider Business Mailing Address
First Line	:	2514 LYNN AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1924
Country	:	US
Telephone Number	:	937-470-9750
Fax Number	:

Provider Business Practice Location Address
First Line	:	2514 LYNN AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1924
Country	:	US
Telephone Number	:	937-470-9750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	03/15/2023

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Directions to “ PAMELA DENISE SLOAN ” Practice Location

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