Individual
DR. JENNIFER CANDICE CHARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3900 S. ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3125
(509) 736-1573
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99338
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37229
IA
207Q00000X
Family Medicine Physician
Primary
MD60201818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279835
LABOR & INDUSTRIES
WA
05
—
16191840025
—
WA
Enumeration date
05/16/2007
Last updated
05/03/2021
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