Individual
CYNTHIA BLAKE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Mailing address
8030 207TH ST SE, SNOHOMISH, WA 98296-8086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60091442
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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