Individual
PATRICIA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30535 W 14 MILE RD APT 21, FARMINGTON HILLS, MI 48334-1564
(248) 808-3774
(248) 542-5621
Mailing address
30535 W 14 MILE RD APT 21, FARMINGTON HILLS, MI 48334-1564
(248) 808-3774
(248) 542-5621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703055213
MI
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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