Individual
BRENDA L CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 AVALON BLVD, BAART, LOS ANGELES, CA 90011-4004
(323) 235-5035
(323) 235-2023
Mailing address
11443 OXFORD AVE, HAWTHORNE, CA 90250-2501
(310) 349-0297
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
M119742
CA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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