Individual
TERESA RENEE CHARVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
336 CHARDONNAY AVE BLDG 3, PROSSER, WA 99350
(509) 786-0031
(509) 786-0047
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
(509) 786-6612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA60625869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022877
—
WA
Enumeration date
10/01/2012
Last updated
06/02/2021
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