Individual
MS. DIANE LORI CHARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S LINCOLN ST, PORT ANGELES, WA 98362-6111
(360) 452-2131
Mailing address
2115 DRIFTWOOD CIRCLE, PORT ANGELES, WA 98363-8334
(360) 670-6713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00049912
WA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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