Individual
MS. STEPHANIE L CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 842-8148
(623) 435-9404
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP038200
AZ
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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