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

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 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.