Jenelle Champ
Jenelle Champ is an Other Technician in Washington, District of Columbia. Licensed in Maryland. Registered with an NPI since 2022.
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
630 Farragut St NWWashington, DC 20011-4010
Phone: (202) 547-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence MT0139037 (MD) |
|---|
Record details
| NPI number | 1912627332 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2022 |
| Last updated in NPPES | August 29, 2022 |
| Certification date | August 29, 2022 |
| Mailing address | 14108 Bramble Ct Apt T2, Laurel, MD 20708-1214 |
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