Individual
MS. SALLY T CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP, CHT,
Contact information
Practice address
6 S 2ND ST STE 715, YAKIMA, WA 98901-2629
(509) 248-3551
Mailing address
108 N 30TH AVE, YAKIMA, WA 98902-2773
(509) 453-8138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
HP10001507
WA
174400000X
Specialist
Primary
MA9182
WA
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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