Individual
LAQUISHA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
334 FOREST AVE APT 2, CINCINNATI, OH 45229-2450
(513) 253-1844
Mailing address
334 FOREST AVE APT 2, CINCINNATI, OH 45229-2450
(513) 253-1844
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SN228222
OH
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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