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Individual

MARIA VANESSA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDPT

Contact information

Practice address
1715 S 324TH PL STE 250, FEDERAL WAY, WA 98003-8581
(206) 759-7783
(206) 501-4204
Mailing address
PO BOX 196, SPANAWAY, WA 98387-0196
(253) 223-0406

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO61676875
WA

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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