Individual provider · Type 1 NPI

Luciene Teixeira Callon

Student in an Organized Health Care Education/Training Program · Blaine, WA

NPI number 1124876776 Active

Practice location

288 Martin St
Blaine, WA 98230-4045

Call (360) 788-4228 Map

Fax (360) 788-1423

Mailing address

288 Martin St # 1
Blaine, WA 98230-4045

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124876776

Luciene Teixeira Callon's National Provider Identifier is 1124876776, issued on May 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Blaine, WA. The record was last updated on May 8, 2024.