Individual
ALLISON CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 W OLD SHAKOPEE RD STE 102, BLOOMINGTON, MN 55438-2684
(612) 261-1503
Mailing address
6300 W OLD SHAKOPEE RD STE 102, BLOOMINGTON, MN 55438-2684
(612) 261-1503
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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