Individual provider · Type 1 NPI
Charlene Marie Tebo
Student in an Organized Health Care Education/Training Program · Worcester, MA
NPI number
1144577933
Active
Practice location
81 Plantation St
Worcester, MA 01604-3069
Mailing address
40 Dayton St, Apartment 1R
Worcester, MA 01609-2188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1144577933
Charlene Marie Tebo's National Provider Identifier is 1144577933, issued on Aug 10, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Aug 10, 2012.