Individual
ANNETTE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
58923 BUSINESS CENTER DR, STE. E, YUCCA VALLEY, CA 92284-7311
(760) 228-7209
Mailing address
60440 GRANADA DR, JOSHUA TREE, CA 92252-2761
(760) 217-2775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/06/2015
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