Provider Demographics
NPI:1881316347
Name:CARTER, LA'JOI ERETTA
Entity type:Individual
Prefix:
First Name:LA'JOI
Middle Name:ERETTA
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2653 ALMEDA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-2630
Mailing Address - Country:US
Mailing Address - Phone:682-283-5063
Mailing Address - Fax:
Practice Address - Street 1:2653 ALMEDA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-2630
Practice Address - Country:US
Practice Address - Phone:682-283-5063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula