Search › Washington › 174400000X
Teresea Carson, LMP
NPI 1720352156 · on the registry since 2012
Practice
- Address
- 207 Allen St
Kelso, WA 98626 - Phone
- (360) 575-9311
- Organisation at this address
- Mirror Images Of Beauty Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington