Individual
CRYSTAL EVE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 BRETT RD, CORINTH, TX 76210-1604
(940) 230-4174
Mailing address
3102 BRETT RD, CORINTH, TX 76210-1604
(940) 230-4174
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201271
TX
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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