Individual
TRANEEHA LA'STARR CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 B ST STE 101, HAYWARD, CA 94541-4237
(510) 247-9115
Mailing address
1122 B ST STE 101, HAYWARD, CA 94541-4237
(510) 247-9115
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK567283
CA
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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