Individual
GINA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MAIN STREET, BOX 1489, DILLINGHAM, AK 99576-1489
(907) 842-5981
(907) 842-4396
Mailing address
PO BOX 1489, DILLINGHAM, AK 99576-1489
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8694
AK
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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