Individual
MS. CORRINE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2401 N WALNUT, BLOOMINGTON, IN 47404
(812) 323-0095
(812) 333-0961
Mailing address
2401 N WALNUT, BLOOMINGTON, IN 47404
(812) 323-0095
(812) 333-0961
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
84000030A
IN
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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