Luciene Teixeira Callon

NPI #1124876776 in Blaine, Washington

Provider Information

NPI Number: 1124876776
Entity Type: Individual
Name: Luciene Teixeira Callon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 8, 2024
Last Updated: May 8, 2024

Practice Location

Address: 288 MARTIN ST
City: Blaine
State: Washington
ZIP Code: 98230-4045
Phone: (360) 788-4228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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