Individual
MRS. BRENDA LEE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18724 N LOCUST GROVE RD, STURGEON, MO 65284-9129
(573) 999-9423
(573) 387-4325
Mailing address
18724 N LOCUST GROVE RD, STURGEON, MO 65284-9129
(573) 999-9423
(573) 387-4325
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
LC001618584
MO
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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