Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luciene Teixeira Callon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124876776

Luciene Teixeira Callon is a Student in an Organized Health Care Education/Training Program in Blaine, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

288 Martin St
Blaine, WA 98230-4045
Phone: (360) 788-4228
Fax: (360) 788-1423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124876776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address288 Martin St # 1, Blaine, WA 98230-4045

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