Individual
BRIAN BERNABE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4662 E WATERMAN CT, GILBERT, AZ 85297-7451
(480) 558-8677
Mailing address
4662 E WATERMAN CT, GILBERT, AZ 85297-7451
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2403704
AZ
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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