Individual
REGINA MICHELLE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE STE 401, WASHINGTON, DC 20020-7021
(202) 536-4414
(703) 483-9928
Mailing address
2671 DOUGLASS RD SE APT 103, WASHINGTON, DC 20020-6591
(202) 465-1776
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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