Individual
MR. TREVOR FARENTINO CARTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
155 ROB ST, FARMINGTON, AR 72730-3054
(479) 530-4417
Mailing address
155 ROB ST, FARMINGTON, AR 72730-3054
(479) 530-4417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0198
AR
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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