Individual
MISS CARLY M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2303 LEE AVE, CONWAY, AR 72034-3722
(150) 162-8629
Mailing address
2303 LEE AVE, CONWAY, AR 72034-3722
(501) 628-6297
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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