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Individual

MIYAH NICOLE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13403 VOLVO WAY, HAGERSTOWN, MD 21742-3810
(240) 405-2433
Mailing address
PO BOX 169, MAUGANSVILLE, MD 21767-0169

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1760007
MD

Other

Enumeration date
11/06/2018
Last updated
11/06/2018
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