Individual
CHARLENE THELEMAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E UNIVERSITY BLVD, TUCSON, AZ 85721-0001
(516) 701-9604
Mailing address
756 FRANKLIN ST, WESTBURY, NY 11590-2443
(516) 701-9604
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
814431
NY
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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