Shanelle Slade's National Provider Identifier (NPI) Details
Shanelle Slade,
NPI: 1265874770
Enumeration Date: 2013-07-25
Last updated: 2017-02-24
Sole Proprietor: NO
Status: active
Postal Address: 224 ALEXANDER ST, ROCHESTER, NY
Phone: 585-922-7784
Primary Practice Address: 132 EARL ST, ROCHESTER, NY
Practice's phone: 585-957-1166