Individual
MS. TAMMIKA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 E BASELINE RD STE 104, GILBERT, AZ 85234-2469
(410) 300-4518
Mailing address
1110 W ELLIOT RD # 1094, TEMPE, AZ 85284-1107
(602) 475-6739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12000352
AZ
Other
Enumeration date
09/16/2021
Last updated
04/24/2023
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