Teresea Joann Carson, LMP

NPI #1720352156 in Kelso, Washington

Provider Information

NPI Number: 1720352156
Entity Type: Individual
Name: Teresea Joann Carson, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Mar 2, 2012
Last Updated: Nov 22, 2016

Practice Location

Address: 207 ALLEN ST
City: Kelso
State: Washington
ZIP Code: 98626-3403
Phone: (360) 575-9311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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