Individual
ANGELA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5218 W DRADIE ST, PASCO, WA 99301-2294
(509) 948-3870
Mailing address
5218 W DRADIE ST, PASCO, WA 99301-2294
(509) 948-3870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00132257
WA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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