Individual
MS. BRENDA VALENCIA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LEGIONARY ST, COLUMBUS, OH 43207-6548
(614) 492-8217
Mailing address
2900 LEGIONARY ST, COLUMBUS, OH 43207-6548
(614) 492-8217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.414952
OH
164W00000X
Licensed Practical Nurse
M-IV PN.149574
OH
Other
Enumeration date
12/20/2012
Last updated
08/21/2015
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