Individual
AUTUMN NICOLE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2531 W WOODLAND DR, ANAHEIM, CA 92801-2637
(714) 226-9888
Mailing address
2531 W WOODLAND DR, ANAHEIM, CA 92801-2637
(714) 226-9888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
11/01/2021
Last updated
05/16/2023
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