Individual
JENNIFER MICHELLE HEDGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
151 N MARKET BLVD STE B, CHEHALIS, WA 98532-2677
(360) 388-8657
(360) 740-4879
Mailing address
1212 W PEAR ST, CENTRALIA, WA 98531-1218
(360) 736-0872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023030
WA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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