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Individual

JASON H CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10800 MIDLOTHIAN TPKE STE 265, NORTH CHESTERFIELD, VA 23235-4700
(804) 594-2622
(804) 594-0915
Mailing address
10800 MIDLOTHIAN TPKE STE 265, NORTH CHESTERFIELD, VA 23235-4700
(804) 594-2622
(804) 594-0915

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024175036
VA

Other

Enumeration date
07/07/2017
Last updated
12/18/2024
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