Individual
MELISSA MARIE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT, CRT
Contact information
Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
Mailing address
9411 BEVERLY DR, BREEZY POINT, MN 56472-3940
(320) 360-4717
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2492
MN
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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