Individual
ANTIWONE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MONICA RD, WORCESTER, MA 01602-4110
(860) 331-9034
Mailing address
2 MONICA RD, WORCESTER, MA 01602-4110
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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