Individual
BRENDA L CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2701 20TH ST SW, CANTON, OH 44706-2629
(330) 413-3603
Mailing address
2701 20TH ST SW, CANTON, OH 44706-2629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN090049
OH
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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