Theresa Tacconelli
Community Health Worker in Bremerton, WA. Individual provider (NPI-1).
NPI number1871024281
StatusActive
Last updated in NPPESMar 27, 2017
Details
- NPI
- 1871024281
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Theresa Tacconelli
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2017
- Last updated
- Mar 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
5455 Almira Dr NeBremerton, WA 98311-8330
Phone 360-415-5807
Mailing address
5455 Almira Dr NeBremerton, WA 98311-8330
Is something wrong?
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All 586 Community Health Worker providers in Bremerton · All 3,530 providers in Bremerton
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