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Individual

DEMETRICES CARTER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(314) 275-7444
Mailing address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(314) 275-7444

Taxonomy

Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
194.008539
IL
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
2009035077
MO

Other

Enumeration date
02/26/2015
Last updated
02/26/2015
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