Individual
DEONTE DAVID CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6104 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2518
(301) 702-6175
Mailing address
6104 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2518
(301) 702-6175
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T18618
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T18618
CPHT
MD
Enumeration date
05/17/2018
Last updated
05/17/2018
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