KASSANDRA JEAN CARPENTER

MYRTLE BEACH, SC
NPI1518323799
Former NameKASSANDRA WIENHOLT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: SC  TL49)
Enumeration Date2016-01-04
Last Update Date2023-05-31
Business Address
KASSANDRA JEAN CARPENTER AA
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: 843-692-1062
Mailing Address
KASSANDRA JEAN CARPENTER AA
809 82ND PKWY
MYRTLE BEACH, SC 29572-4607
Phone number: