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Individual

KEVIN DALE CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2839 G ST, MERCED, CA 95340-2133
(209) 726-8007
(209) 726-8018
Mailing address
2839 G ST, MERCED, CA 95340-2133
(209) 726-8007
(209) 726-8018

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
10/20/2010
Last updated
10/20/2010
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