Individual
JENNIFER LARGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
30 W MAIN ST STE 207, WALLA WALLA, WA 99362-2872
(509) 520-0636
Mailing address
30 W MAIN ST STE 207, WALLA WALLA, WA 99362-2872
(509) 520-0636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018922
WA
Other
Enumeration date
01/24/2007
Last updated
03/28/2022
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