Individual
MRS. WENDY ANNE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
424 SAMANTHA K CT, SAINT CLOUD, FL 34771-8315
(321) 436-9112
Mailing address
424 SAMANTHA K CT, SAINT CLOUD, FL 34771-8315
(321) 436-9112
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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