Individual
CLOE JAY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 CENTRAL AVE, SHASTA LAKE, CA 96019-9545
(530) 351-2449
Mailing address
1142 CENTRAL AVE, SHASTA LAKE, CA 96019-9545
(530) 351-2449
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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