| Sharon Charles, RD | |
|
29377 Rancho California Rd Ste 103, Temecula, CA 92591-5206 | |
| (951) 387-5201 | |
| (866) 502-2851 |
| Full Name | Sharon Charles |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 29377 Rancho California Rd Ste 103, Temecula, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518721810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86371326 (New Jersey) | Primary |
| Provider Name | Jalapeno Health LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295400851 PECOS PAC ID: 4880133164 Enrollment ID: O20240830000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Charles, RD 1035 La Terraza Cir Unit 205, Corona, CA 92879-7800 Ph: (951) 387-5201 | Sharon Charles, RD 29377 Rancho California Rd Ste 103, Temecula, CA 92591-5206 Ph: (951) 387-5201 |
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