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Angelique Blanche Carter
Student in an Organized Health Care Education/Training Program in Watertown, Wisconsin
NPI 1194462911

Angelique Blanche Carter is a Student in an Organized Health Care Education/Training Program based in Brookfield, WI. Angelique Blanche Carter practices in Watertown, WI. The NPI Number for Angelique Blanche Carter is 1194462911 and holds a License No. (Wisconsin).

The current practice location address for Angelique Blanche Carter is 302 N 3Rd St, Watertown, WI and can be reached out via phone at 262-223-6125.

Location: 302 N 3Rd St, Watertown, WI, 53005-8001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194462911
Provider Name
Angelique Blanche Carter
Credential
Provider Entity Type
Individual
Gender
Female
Address
302 N 3Rd St, Watertown, WI, 53005-8001
Phone Number
262-223-6125
Fax Number
Provider Enumeration Date
05/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 N 3Rd St
City
Watertown
State
Wisconsin
Zip
53094-3723
Phone Number
262-223-6125
Fax Number
person
Provider Business Mailing Address Details
Address
302 N 3Rd St
City
Watertown
State
Wisconsin
Zip
53094-3723
Phone Number
262-223-6125
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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