Individual
JASON CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
653 MCCORKLE BLVD UNIT G, WESTERVILLE, OH 43082-7159
(614) 771-8605
Mailing address
653 MCCORKLE BLVD UNIT G, WESTERVILLE, OH 43082-7159
(614) 771-8605
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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