Individual
SAMANTHA ANN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-1388
(520) 603-4374
Mailing address
2945 YORKTOWN CT, MARINA, CA 93933-4936
(520) 603-4374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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