Provider Demographics
NPI:1578145140
Name:SLAY FITNESS AND NUTRITION
Entity Type:Organization
Organization Name:SLAY FITNESS AND NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAZLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMAZAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-582-1248
Mailing Address - Street 1:51 E J ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6133
Mailing Address - Country:US
Mailing Address - Phone:951-582-1248
Mailing Address - Fax:
Practice Address - Street 1:51 E J ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6133
Practice Address - Country:US
Practice Address - Phone:951-582-1248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health