Individual
ANDREW BLAKE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9700 W SUNSET RD APT 1024, LAS VEGAS, NV 89148-4796
(702) 677-7645
Mailing address
9700 W SUNSET RD APT 1024, LAS VEGAS, NV 89148-4796
(702) 677-7645
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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