Individual
YISEL VIRIDIANA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9930 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-5902
(623) 846-7558
Mailing address
1050 S CERISE, MESA, AZ 85208-3195
(801) 458-3982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7624
AZ
Other
Enumeration date
04/05/2019
Last updated
10/01/2019
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