Individual
AQUILA JORDAN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 BAYWOOD CT, COLLEGE STATION, TX 77845-3516
(979) 220-4972
Mailing address
1210 BAYWOOD CT, COLLEGE STATION, TX 77845-3516
(979) 220-4972
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
349223
TX
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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