MS. Jacqueline Renita Brock-Carter
NPI #1396078531 in Capitol Heights, Maryland
Provider Information
- NPI Number
- 1396078531
- Entity Type
- Individual
- Name
- MS. Jacqueline Renita Brock-Carter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optometric Assistant
- Enumeration Date
- Sep 4, 2009
- Last Updated
- Sep 4, 2009
Practice Location
- Address
- 5028 FABLE ST
- City
- Capitol Heights
- State
- Maryland
- ZIP Code
- 20743-4019
- Phone
- (240) 838-1978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optometric Assistant — Optometric Assistant |
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