Individual
BRENT CHRISTOPHER CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60805 29 PALMS HWY, JOSHUA TREE, CA 92252-5901
(760) 974-5990
Mailing address
74088 GORGONIO DR, TWENTYNINE PALMS, CA 92277-2714
(619) 844-3290
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PT41132
CA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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