Individual
BRANDI CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 KENGREY DR, CARLISLE, PA 17015-7444
(717) 448-0815
Mailing address
17 KENGREY DR, CARLISLE, PA 17015-7444
(717) 448-0815
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
RT005899
PA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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