Individual
KATIE CENEE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12815 BAMBOO FOREST TRL, HOUSTON, TX 77044-1512
(209) 230-3294
Mailing address
12815 BAMBOO FOREST TRL, HOUSTON, TX 77044-1512
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
27648
TX
164X00000X
Licensed Vocational Nurse
682984
CA
Other
Enumeration date
06/26/2019
Last updated
07/06/2019
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