Individual
BRIAN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
480 GALLETTI WAY, BLDG. 8N, SPARKS, NV 89431-5564
(775) 688-1633
Mailing address
5535 KNOLL VIEW WAY, SPARKS, NV 89436-0876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN12205
NV
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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