Most Relevant Information
Provider Data
| NPI Number: | 1003311549 |
| Provider Name: | RENAY CARTER |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2018 |
| Last Updated: | 03/27/2018 |
Provider Practice Location
4421 F ST SE
WASHINGTON
DC
200195043
Practice Location Phone/Fax
| Phone: | 2025750951 |
| Fax: |
Provider Mailing Location
4421 F ST SE
WASHINGTON
DC
200195043
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |