Individual
MRS. CARMEN MARIA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPOUSE
Contact information
Practice address
40 HERMAN ST, FEASTERVILLE TREVOSE, PA 19053-2324
(215) 630-0775
Mailing address
40 HERMAN ST, FEASTERVILLE TREVOSE, PA 19053-2324
(215) 630-0775
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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