Individual
JASMINE LEIGH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 880-3700
Mailing address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 880-3700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2023-0178
NM
Other
Enumeration date
02/08/2018
Last updated
11/14/2024
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