Individual
MS. VICKI JO CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
5334 RUE DE VILLE, INDIANAPOLIS, IN 46220
(317) 259-1484
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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