Provider Demographics
NPI:1396286787
Name:MURRAY CARTER, MONIQUE PATRISE
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:PATRISE
Last Name:MURRAY CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:PATRISE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31689 POMPEI LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8695
Mailing Address - Country:US
Mailing Address - Phone:951-260-8909
Mailing Address - Fax:
Practice Address - Street 1:39195 ETERNITY LN
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6873
Practice Address - Country:US
Practice Address - Phone:951-260-8909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor