MISS Shannon Larae Carpenter, LMP
NPI #1639225907 in Renton, Washington
Provider Information
- NPI Number
- 1639225907
- Entity Type
- Individual
- Name
- MISS Shannon Larae Carpenter, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 518 S TOBIN ST
- City
- Renton
- State
- Washington
- ZIP Code
- 98055-1303
- Phone
- (206) 715-9027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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