Shanceline Esom Tebo
NPI #1962259218 in Travis Afb, California
Provider Information
- NPI Number
- 1962259218
- Entity Type
- Individual
- Name
- Shanceline Esom Tebo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 3, 2024
- Last Updated
- Jul 16, 2024
Practice Location
- Address
- 60 MDG/MDTS
- Address 2
- 101 BODIN CIRCLE
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1809
- Phone
- (707) 423-7657
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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