Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 187 | RI |
N | 156FX1800X | Optician | 4799 | MA |
NPI | 1215061569 |
---|---|
Provider Name | Ms. Linda A Carpentier |
First Address | Woonsocket, RI 02895-2334 |
Second Address | Cranston, RI 02920-4130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/09/2009 |