Individual
PATRICIA L CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDCDE
Contact information
Practice address
2528 FARRAGUT DR, SPRINGFIELD, IL 62704-1433
(217) 787-8870
Mailing address
313 N YATES ST., POBOX 653, ASHLAND, IL 62612
(217) 476-3647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
04/05/2006
Last updated
09/04/2007
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