Individual
CHARLES CARPENTERO
Active
Individual
CHARLES CARPENTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CNS
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS-19125
PA
133NN1002X
Nutrition Education Nutritionist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2023
Last updated
10/27/2025
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