Individual
JOCELYN TELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1398
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42978351
—
NM
Enumeration date
01/10/2023
Last updated
01/10/2023
Update your record
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