MEDICARE: VERONICA SLAUGHTER D.C.

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	111N00000X	Chiropractor	15669	CA

General Provider Information

NPI Number	:	1285742387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA SLAUGHTER D.C.

Provider Business Mailing Address
First Line	:	44847 PORTOLA AVE STE B
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3703
Country	:	US
Telephone Number	:	760-340-4157
Fax Number	:	888-636-9047

Provider Business Practice Location Address
First Line	:	44847 PORTOLA AVE STE B
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-3703
Country	:	US
Telephone Number	:	760-340-4157
Fax Number	:	888-636-9047

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	08/12/2015

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