Individual
MISTY FAYE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 3RD ST, BEEMER, NE 68716-4241
(402) 380-6305
Mailing address
416 3RD ST, BEEMER, NE 68716-4241
(402) 380-6305
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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