Individual
LASHANDA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
283 HOLLINS RD, PINOLA, MS 39149-3060
(601) 951-8751
Mailing address
283 HOLLINS RD, PINOLA, MS 39149-3060
(601) 951-8751
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
A049623
MS
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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