Individual
MR. FREDERICK N/A CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11303 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6003
(310) 482-3222
Mailing address
11303 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6003
(310) 482-3222
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
12/24/2009
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