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ANDREA CHERNE
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1588332399
Individual Registrant: ANDREA CHERNE
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
104 AUSTIN ST LA VETA, CO 81055-5001 US
Tel: 719-588-5406 Fax: --
Tel: 719-588-5406 Fax: --
Contact information for business:
PO BOX 1238 LA VETA, CO 81055-1238 US
Tel: 719-588-5406 Fax: --
Tel: 719-588-5406 Fax: --
Registration Information:
NPI: 1588332399
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
