Individual
JARED CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
NMRTU FALLON, 4755 PASTURE RD, FALLON, NV 89406
(775) 426-3120
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101276734
VA
208D00000X
General Practice Physician
Primary
0101276734
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/29/2021
Last updated
06/21/2023
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