Individual
MS. CARRIE ANN HIMES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.ED, ATC
Contact information
Practice address
24009 MONTEZUMA AVE, TBS/S-3/ ATR, QUANTICO, VA 22134-5123
(703) 784-6558
Mailing address
836 LINCOLN DR, FREDERICKSBURG, VA 22407-6908
(724) 612-6180
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/29/2005
Last updated
07/08/2007
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