Provider Demographics
NPI:1437790649
Name:CHARFAUROS, JENIKA RAYANA MUNA
Entity Type:Individual
Prefix:
First Name:JENIKA RAYANA
Middle Name:MUNA
Last Name:CHARFAUROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12902 SE 312TH ST APT Q101
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-3396
Mailing Address - Country:US
Mailing Address - Phone:253-397-4755
Mailing Address - Fax:
Practice Address - Street 1:12902 SE 312TH ST APT Q101
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-3396
Practice Address - Country:US
Practice Address - Phone:253-397-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider