Individual
CARSON WATARU ERCANBRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 OLD CANTRELL RD APT 412, LITTLE ROCK, AR 72202-1967
(480) 389-7419
Mailing address
3700 OLD CANTRELL RD APT 412, LITTLE ROCK, AR 72202-1967
(480) 389-7419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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